MERCY HEALTH SERVICES IOWA CORP: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MERCY HEALTH SERVICES IOWA CORP (EIN 31-1373080)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-12
- IRS object ID
- 201521329349301342
- Schema version
- 2013v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-12T09:34:54-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311373080 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH SERVICES - IOWA CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MERC | BusinessNameControlTxt |
| Phone | 5156435300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 4TH STREET SW | AddressLine1 |
| City | MASON CITY | City |
| State | IA | State |
| ZIP Code | 50401 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RODNEY SCHLADER | PersonNm |
| Person Title | REGIONAL CFO | PersonTitleTxt |
| Phone | 7343431000 | PhoneNum |
| Signature | 2015-05-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SEE SCHEDULE O FOR LIST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID VELLINGA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 6TH AVENUE | AddressLine1 |
| City | DES MOINES | City |
| State | IA | State |
| ZIP Code | 50314 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $666,859,455 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TRINITY-HEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | HEALTH CARE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 5804 | TotalEmployeeCnt |
| Total Volunteers | 727 | TotalVolunteersCnt |
| Total Gross UBI | $27,312,422 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$277,508 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,380,476 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,302,651 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $610,555,317 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $611,343,607 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,653,174 | PYInvestmentIncomeAmt |
| CY Investment Income | $11,910,346 | CYInvestmentIncomeAmt |
| PY Other Revenue | $44,355,535 | PYOtherRevenueAmt |
| CY Other Revenue | $40,011,591 | CYOtherRevenueAmt |
| PY Total Revenue | $668,944,502 | PYTotalRevenueAmt |
| CY Total Revenue | $665,568,195 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $968,070 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $853,865 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $297,014,327 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $295,546,933 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $21,391 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $21,391 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $368,567,769 | PYOtherExpensesAmt |
| CY Other Expenses | $366,442,363 | CYOtherExpensesAmt |
| PY Total Expenses | $666,550,166 | PYTotalExpensesAmt |
| CY Total Expenses | $662,864,552 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,394,336 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,703,643 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $661,667,231 | TotalAssetsBOYAmt |
| Total Assets EOY | $682,773,995 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $290,097,793 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $287,743,585 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $371,569,438 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $395,030,410 | NetAssetsOrFundBalancesEOYAmt |
| Mission | HEALTH CARE SERVICES - SEE SCHEDULE H FOR MORE INFORMATION | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $605,160,058 | ExpenseAmt |
| Grant | $853,865 | GrantAmt |
| Revenue | $600,832,792 | RevenueAmt |
| Desc | MERCY HEALTH SERVICES-IOWA, CORP. OPERATED FOUR HOSPITAL DIVISIONS IN THE STATE OF IOWA THAT PROVIDED 145,541 PATIENT DAYS OF HEALTHCARE SERVICES TO THEIR COMMUNITIES. THE MISSION STATEMENT OF MERCY HEALTH SERVICES-IOWA CORP. IS AS FOLLOWS:WE, MERCY HEALTH SERVICES - IOWA AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. | Desc |
| Total Program Service Expenses | $605,160,058 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 1013 | IRPDocumentCnt |
| IRP Document W2 G | 53 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5804 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BETH GDOWIK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7343431000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20555 VICTOR PARKWAY | AddressLine1 |
| City | LIVONIA | City |
| State | MI | State |
| ZIP Code | 481527018 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DAVID VELLINGA | ||||||||||
| DIRECTOR/REG PRES & CEO AS OF 1/14 | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MILTON AVERY | ||||||||||
| CHAIR AS OF 1/14 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARY CORITA HEID RSM | ||||||||||
| VICE CHAIR AS OF 1/14 | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| RICHARD GILFILLAN MD | ||||||||||
| DIR. 11-12/13;TH PRES/CEO AT 11/13 | 2.00 | 53.00 | Yes (X) | Yes (X) | $0 | $139,231 | $6,899 | |||
| JUDITH PERSICHILLI | ||||||||||
| TRINITY INT. PRES & CEO THR 11/13 | 2.00 | 53.00 | Yes (X) | Yes (X) | $0 | $4,068,101 | $25,456 | |||
| MELANIE DREHER PHD RN | ||||||||||
| CHAIR THROUGH 12/13 | 1.00 | 17.00 | Yes (X) | Yes (X) | $0 | $49,250 | $0 | |||
| BARBARA WHEELEY RSM | ||||||||||
| VICE CHAIR THROUGH 12/13 | 1.00 | 17.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MAURITA SOUKUP RSM | ||||||||||
| DIRECTOR AS OF 1/14 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES CODDINGTON MD | ||||||||||
| DIRECTOR AS OF 1/14;MMC-NI PHYSICIAN | 49.00 | 1.00 | Yes (X) | $235,764 | $0 | $36,176 | ||||
| LAMETTA WYNN | ||||||||||
| DIRECTOR AS OF 1/14 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK NIEMER MD | ||||||||||
| DIRECTOR AS OF 1/14 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARTI RODAMAKER | ||||||||||
| DIRECTOR AS OF 1/14 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD O'CONNELL | ||||||||||
| DIR. AS OF 1/14; EVP & PRES TH DIV | 1.00 | 54.00 | Yes (X) | $0 | $1,673,574 | $145,485 | ||||
| SUZANNE BRENNAN CSC | ||||||||||
| DIRECTOR THROUGH 12/13 | 1.00 | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| STANLEY URBAN | ||||||||||
| DIRECTOR THROUGH 12/13 | 1.00 | 10.00 | Yes (X) | $0 | $24,000 | $0 | ||||
| RALPH REEDER MD | ||||||||||
| DIRECTOR AS OF 4/14 | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL NEUMANN | ||||||||||
| SEC THR 12/13; TH CHIEF LEGAL CNSL | 2.00 | 53.00 | Yes (X) | $0 | $1,255,551 | $103,026 | ||||
| MARCIA SMITH | ||||||||||
| SECRETARY AS OF 1/14; ASSOCIATE CNSL | 44.00 | 1.00 | Yes (X) | $0 | $219,902 | $31,640 | ||||
| AGNES HAGERTY | ||||||||||
| ASST SEC THR 12/13; TH DEP GNL CNSL | 2.00 | 48.00 | Yes (X) | $0 | $402,957 | $47,295 | ||||
| RODNEY SCHLADER | ||||||||||
| TREAS AS OF 1/14; REGIONAL CFO | 49.00 | 1.00 | Yes (X) | $0 | $344,574 | $50,092 | ||||
| JENNIFER BARNETT | ||||||||||
| TREAS THR 12/13; TH CFO THR 4/14 | 2.00 | 53.00 | Yes (X) | $0 | $1,219,369 | $30,695 | ||||
| BENJAMIN CARTER | ||||||||||
| ASST TREAS THR 12/13; TH TREAS/CFO | 2.00 | 53.00 | Yes (X) | $0 | $1,250,126 | $110,445 | ||||
| RUSSELL KNIGHT | ||||||||||
| CEO DUBUQUE | 49.00 | 1.00 | $0 | $715,214 | $71,424 | Yes (X) | ||||
| ROBERT PEEBLES | ||||||||||
| CEO SIOUX CITY THROUGH 3/14 | 47.00 | 3.00 | $0 | $568,262 | $68,733 | Yes (X) | ||||
| PAUL MANTERNACH | ||||||||||
| SVP PHYS INTEGRATION MASON CITY | 50.00 | 0.00 | $0 | $492,207 | $31,967 | Yes (X) | ||||
| DANIEL VARNUM | ||||||||||
| CEO MASON CITY | 49.00 | 1.00 | $0 | $489,564 | $61,693 | Yes (X) | ||||
| JEROME PIERSON MD | ||||||||||
| CMO SIOUX CITY | 49.00 | 1.00 | $0 | $388,355 | $23,343 | Yes (X) | ||||
| TERESA MOCK | ||||||||||
| SVP MERCY CLINICS MASON CITY | 50.00 | 0.00 | $0 | $341,451 | $45,145 | Yes (X) | ||||
| DIANE FISCHELS | ||||||||||
| VP OPERATIONS MASON CITY | 50.00 | 0.00 | $0 | $335,837 | $39,578 | Yes (X) | ||||
| KIMBERLY CHAMBERLIN | ||||||||||
| CNO MASON CITY | 49.00 | 1.00 | $0 | $253,993 | $21,906 | Yes (X) | ||||
| KAY TAKES | ||||||||||
| VP PATIENT CARE DUBUQUE | 50.00 | 0.00 | $0 | $252,286 | $42,138 | Yes (X) | ||||
| LINDA KREI | ||||||||||
| VP HR AND ORG INTEGRITY SIOUX CITY | 49.00 | 1.00 | $0 | $246,497 | $30,458 | Yes (X) | ||||
| GARY GUETZKO | ||||||||||
| VP BUSINESS DEVELOPMENT DUBUQUE | 50.00 | 0.00 | $0 | $236,235 | $56,627 | Yes (X) | ||||
| ROBERT SHAFER | ||||||||||
| CFO DUBUQUE | 50.00 | 0.00 | $0 | $208,330 | $81,913 | Yes (X) | ||||
| BRIAN MONSMA | ||||||||||
| VP NETWORK DEVELOPMENT SIOUX CITY | 48.00 | 2.00 | $0 | $204,263 | $33,512 | Yes (X) | ||||
| TRACY LARSON | ||||||||||
| CNO SIOUX CITY | 50.00 | 0.00 | $0 | $199,700 | $31,181 | Yes (X) | ||||
| SUE MEADE | ||||||||||
| VP PROF & SUPP SVCS DUBUQUE | 50.00 | 0.00 | $0 | $166,961 | $26,460 | Yes (X) | ||||
| CARL J PLANK | ||||||||||
| PHYSICIAN, DERMATOLOGY (MC) | 50.00 | 0.00 | $927,875 | $0 | $47,681 | Yes (X) | ||||
| JAMES R BAER | ||||||||||
| PHYSICIAN, RADIATION ONCOLOGY (MC) | 50.00 | 0.00 | $639,744 | $0 | $50,382 | Yes (X) | ||||
| ARVIND PERATHUR | ||||||||||
| PHYSICIAN, INTERNAL MEDICINE (MC) | 50.00 | 0.00 | $616,932 | $0 | $40,586 | Yes (X) | ||||
| MARK HAGANMAN | ||||||||||
| PHYSICIAN, FAMILY MEDICINE (MC) | 50.00 | 0.00 | $615,543 | $0 | $57,590 | Yes (X) | ||||
| JAMES P KARKOS | ||||||||||
| PHYSICIAN, DERMATOLOGY (MC) | 50.00 | 0.00 | $588,737 | $0 | $55,693 | Yes (X) | ||||
| MARIANNE CUNNINGHAM | ||||||||||
| FORMER OFFICER | 0.00 | 50.00 | $0 | $168,430 | $28,979 | Yes (X) | ||||
| DANIEL HALE | ||||||||||
| FORMER OFFICER | 0.00 | 55.00 | $0 | $1,302,863 | $50,680 | Yes (X) | ||||
| MICHAEL SLUBOWSKI | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $231,799 | $0 | Yes (X) | ||||
| JOSEPH SWEDISH | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | $0 | $1,463,995 | $28,888 | Yes (X) | ||||
| JAMES BOSSCHER | ||||||||||
| FORMER OFFICER | 0.00 | 55.00 | $0 | $820,344 | $88,666 | Yes (X) | ||||
| KEDRICK ADKINS | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $1,808,589 | $1,739,236 | Yes (X) | ||||
| MARILYN KAPTAIN-DAHLEN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $0 | $308,769 | $134,018 | Yes (X) | ||||
| STEVEN EAVENSON | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 50.00 | $0 | $389,051 | $35,456 | Yes (X) | ||||
| KIM PRICE | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $140,397 | $0 | $38,163 | Yes (X) | ||||
| LARRY WARREN | ||||||||||
| FORMER OFFICER | 0.00 | 9.00 | $0 | $1,635,500 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,764,992 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $23,875,130 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $3,649,305 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 268 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MASON CITY CLINIC PC | |||||
| 250 S CRESCENT DRIVE | MASON CITY | IA | 50401 | MEDICAL SERVICES | $13,245,729 |
| UNITED CLINICAL LABORATORIES | |||||
| 205 BLUFF STREET | DUBUQUE | IA | 52001 | LABORATORY SERVICES | $6,446,638 |
| MEDICAL ASSOCIATES CLINIC PC | |||||
| 1500 ASSOCIATES DRIVE | DUBUQUE | IA | 52002 | MEDICAL SERVICES | $2,178,793 |
| STRATEGIC STAFFING SOLUTIONS | |||||
| 645 GRISWOLD ST SUITE 2900 | DETROIT | MI | 48226 | STAFFING SERVICES | $1,891,055 |
| NEUROSURGERY OF NORTH IOWA | |||||
| 1010 4TH ST SW STE 105 | MASON CITY | IA | 50401 | MEDICAL SERVICES | $1,807,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 93 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,120,028 | RelatedOrganizationsAmt |
| Government Grants | $137,642 | GovernmentGrantsAmt |
| All Other Contributions | $44,981 | AllOtherContributionsAmt |
| Noncash Contributions | $976,040 | NoncashContributionsAmt |
| Total Contributions | $2,302,651 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SVC REV | 622110 | $563,543,504 | $563,543,504 | ||
| PHARMACY REVENUE | 446110 | $44,782,824 | $22,894,225 | $21,888,599 | |
| LABORATORY REVENUE | 621500 | $3,017,279 | $3,017,279 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $611,343,607 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,159,017 | TotalRevenueColumnAmt |
| Exclusion | $4,159,017 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,504,570 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,050,287 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $454,283 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $454,283 | TotalRevenueColumnAmt |
| Exclusion | $454,283 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,915,220 | SecuritiesAmt |
| Other | $77,082 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $240,973 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,915,220 | SecuritiesAmt |
| Other | -$163,891 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,751,329 | TotalRevenueColumnAmt |
| Exclusion | $7,751,329 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| MANAGEMENT REVENUE | 541618 | $3,913,657 | $3,913,657 | |
| CAFETERIA REVENUE | 722514 | $3,169,753 | $3,169,753 | |
| MEDICARE/MEDICAID HIT | 622110 | $2,627,502 | $2,627,502 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,846,396 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,445,478 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,400,918 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $39,557,308 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $665,568,195 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $598,530,141 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $27,312,422 | UnrelatedBusinessRevenueAmt |
| Exclusion | $37,422,981 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $835,899 | TotalAmt |
| Program Services | $835,899 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,966 | TotalAmt |
| Program Services | $17,966 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,572,804 | TotalAmt |
| Program Services | $271,940 | ProgramServicesAmt |
| Management And General | $6,300,864 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,786 | TotalAmt |
| Program Services | $205,221 | ProgramServicesAmt |
| Management And General | $532,565 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,965,040 | TotalAmt |
| Program Services | $211,813,198 | ProgramServicesAmt |
| Management And General | $23,151,842 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,714,066 | TotalAmt |
| Program Services | $14,183,268 | ProgramServicesAmt |
| Management And General | $1,530,798 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,954,347 | TotalAmt |
| Program Services | $18,662,398 | ProgramServicesAmt |
| Management And General | $2,291,949 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,602,890 | TotalAmt |
| Program Services | $14,590,620 | ProgramServicesAmt |
| Management And General | $2,012,270 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,606,269 | TotalAmt |
| Program Services | $2,290,389 | ProgramServicesAmt |
| Management And General | $315,880 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $558,591 | TotalAmt |
| Management And General | $558,591 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,166 | TotalAmt |
| Management And General | $6,166 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,391 | TotalAmt |
| Fundraising | $21,391 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,774 | TotalAmt |
| Program Services | $394,383 | ProgramServicesAmt |
| Management And General | $54,391 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,840,641 | TotalAmt |
| Program Services | $42,921,155 | ProgramServicesAmt |
| Management And General | $5,919,486 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,643,575 | TotalAmt |
| Program Services | $1,444,374 | ProgramServicesAmt |
| Management And General | $199,201 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,753,422 | TotalAmt |
| Program Services | $7,692,507 | ProgramServicesAmt |
| Management And General | $1,060,915 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,277,340 | TotalAmt |
| Program Services | $29,244,126 | ProgramServicesAmt |
| Management And General | $4,033,214 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,679,700 | TotalAmt |
| Program Services | $12,045,715 | ProgramServicesAmt |
| Management And General | $633,985 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,301,433 | TotalAmt |
| Program Services | $1,143,699 | ProgramServicesAmt |
| Management And General | $157,734 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,144 | TotalAmt |
| Program Services | $118,765 | ProgramServicesAmt |
| Management And General | $16,379 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,580,451 | TotalAmt |
| Program Services | $7,580,451 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,733,645 | TotalAmt |
| Program Services | $32,996,963 | ProgramServicesAmt |
| Management And General | $1,736,682 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,239,549 | TotalAmt |
| Program Services | $5,927,572 | ProgramServicesAmt |
| Management And General | $311,977 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $124,340,078 | $124,340,078 | |
| BAD DEBT | $23,661,369 | $23,661,369 | |
| INTERCO. PURCHASED SVCS | $23,441,035 | $20,599,982 | $2,841,053 |
| CONTRACT LABOR | $18,154,575 | $15,954,241 | $2,200,334 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,040,606 | TotalAmt |
| Program Services | $16,223,779 | ProgramServicesAmt |
| Management And General | $1,816,827 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,864,552 | TotalAmt |
| Program Services | $605,160,058 | ProgramServicesAmt |
| Management And General | $57,683,103 | ManagementAndGeneralAmt |
| Fundraising | $21,391 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,882,422 | BOYAmt |
| EOY | $4,946,385 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $471,815 | BOYAmt |
| EOY | $247,647 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,775,470 | BOYAmt |
| EOY | $79,879,367 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,273,794 | BOYAmt |
| EOY | $2,107,786 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,170,896 | BOYAmt |
| EOY | $16,110,528 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,870,097 | BOYAmt |
| EOY | $1,756,619 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $594,005,879 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $393,827,738 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,730,323 | BOYAmt |
| EOY | $200,178,141 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,630,539 | BOYAmt |
| EOY | $161,270,308 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,207,705 | BOYAmt |
| EOY | $132,239,048 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,259,569 | BOYAmt |
| EOY | $184,005 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,394,601 | BOYAmt |
| EOY | $83,854,161 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $661,667,231 | BOYAmt |
| EOY | $682,773,995 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,011,419 | BOYAmt |
| EOY | $63,982,947 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $449,476 | BOYAmt |
| EOY | $212,210 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,870,840 | BOYAmt |
| EOY | $3,108,487 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,766,058 | BOYAmt |
| EOY | $220,439,941 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,097,793 | BOYAmt |
| EOY | $287,743,585 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,093,894 | BOYAmt |
| EOY | $394,797,904 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,544 | BOYAmt |
| EOY | $207,506 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,569,438 | BOYAmt |
| EOY | $395,030,410 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $661,667,231 | BOYAmt |
| EOY | $682,773,995 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,703,643 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $13,903,346 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $6,853,983 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $128,200 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $1,800 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $130,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | MERCY HEALTH SERVICES - IOWA, CORP. (MHS-IA) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS. THESE ORGANIZATIONS HAVE PROVIDED MHS-IA WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS THAT ARE USED FOR LOBBYING ACTIVITIES. SIMILARLY, THESE HEALTH CARE ORGANIZATIONS WILL ARRANGE CONFERENCES AND SEMINARS FOR MEMBER ORGANIZATIONS AND THEIR EXECUTIVES WHICH INVOLVE LEGISLATORS OR OTHER POLITICAL FIGURES AS GUEST SPEAKERS. AS A CATHOLIC HEALTH MINISTRY, WE ARE CALLED BOTH TO SERVE AND TO TRANSFORM. WE SERVE PEOPLE AND COMMUNITIES IN NEED, ESPECIALLY THE POOR AND UNDERSERVED. WE ALSO SEEK TO TRANSFORM SYSTEMS OF CARE AND POLICIES TO CREATE JUSTICE FOR ALL. ADVOCACY AT OUR SYSTEM SUPPORTS BOTH OF THESE FOUNDATIONAL ELEMENTS OF OUR FAITH-BASED MISSION. WE ADVOCATE FOR POLICIES THAT SUPPORT OUR CAPACITY TO SERVE OTHERS (E.G., MEDICARE PAYMENTS). WE ALSO ADVOCATE FOR FUNDAMENTAL CHANGE, TO TRANSFORM, BY SEEKING ACCESS TO HEALTHCARE FOR ALL. OUR 2014 FEDERAL ADVOCACY GOALS INCLUDED: - SUSTAINABLE MEDICARE PAYMENT AND VALUE-BASED REIMBURSEMENT - REPEAL OF MEDICARE PHYSICIAN PAYMENT SUSTAINABLE GROWTH RATE (SGR) - REFORM OF RECOVERY AUDIT CONTRACTOR (RAC) PROGRAM - PACE FUNDING, ADAPTABILITY, AND AWARENESS OUR 2014 STATE ADVOCACY GOALS INCLUDED: - HEALTH INSURANCE EXCHANGE ENROLLMENT - MEDICAID EXPANSION AND VALUE-BASED ENROLLMENT - WORKFORCE TRANSFORMATION - PACE ACCESS, FUNDING AND AWARENESS - BEHAVIORAL HEALTH ACCESS AND REIMBURSEMENT LOBBYING ACTIVITY PERFORMED BY MHS-IA INCLUDED: - AN "ADVOCACY ACTION" WEBSITE TO ENGAGE ASSOCIATES IN FEDERAL ADVOCACY - DESIGNATE AN ADVOCACY LIAISON - ENGAGEMENT OF A LOBBYIST IN WASHINGTON, D.C. BY TRINITY HEALTH CORPORATION - LEGISLATOR VISITS - COLLABORATION WITH THE CATHOLIC HOSPITAL ASSOCIATION, AND THE AMERICAN HOSPITAL ASSOCIATION - COLLABORATION WITH THE IOWA HOSPITAL ASSOCIATION - ADVOCACY ACTION DAY AT THE STATE LEVEL ATTENDED BY EXECUTIVES REPRESENTING MEMBER HOSPITALS | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,000 | BeginningYearBalanceAmt |
| End Year Balance | $25,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,000 | BeginningYearBalanceAmt |
| End Year Balance | $25,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,000 | BeginningYearBalanceAmt |
| End Year Balance | $25,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,000 | BeginningYearBalanceAmt |
| End Year Balance | $25,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,000 | BeginningYearBalanceAmt |
| End Year Balance | $25,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,445,234 | OtherCostOrOtherBasisAmt |
| Book Value | $10,445,234 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $341,290,787 | OtherCostOrOtherBasisAmt |
| Depreciation | $229,690,883 | DepreciationAmt |
| Book Value | $111,599,904 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $215,309,873 | OtherCostOrOtherBasisAmt |
| Depreciation | $163,785,692 | DepreciationAmt |
| Book Value | $51,524,181 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,959,985 | OtherCostOrOtherBasisAmt |
| Depreciation | $351,163 | DepreciationAmt |
| Book Value | $26,608,822 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $200,178,141 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES | $28,135,968 | F |
| EQUITY METHOD INVESTMENTS | $61,899,129 | C |
| HEDGE FUNDS | $42,203,951 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $132,239,048 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $12,898,752 |
| INTERCOMPANY ACCOUNTS RECEIVABLE | $2,021,783 |
| INVESTMENT IN AFFILIATES | $28,863,358 |
| OTHER ASSETS | $2,544,742 |
| INTERCOMPANY OTHER LT ASSETS | $37,525,526 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $83,854,161 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY ACCOUNTS PAYABLE | $5,626,951 |
| DEFERRED COMPENSATION | $11,781,819 |
| LONG TERM ASSET RETIREMENT OBLIGATION (FIN 47) | $3,819,318 |
| INTERCOMPANY NOTES PAYABLE | $197,374,695 |
| OTHER LIABILITIES | $1,779,724 |
| LEASE OBLIGATION | $1,770 |
| ANNUITY PAYABLE | $55,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $220,439,941 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | THE ENDOWMENT FUNDS OF MERCY HEALTH SERVICES - IOWA, CORP. INCLUDE $25,000 KNOWN AS THE VIANNA HOLSCHLAG SCHOLARSHIP FUND. INTEREST INCOME FROM THE FUND IS MADE AVAILABLE FOR NURSING SCHOLARSHIPS. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ME&V | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6711 CHANCELLOR DRIVE | AddressLine1 |
| City | CEDAR FALLS | City |
| State | IA | State |
| ZIP Code | 50613 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | FUNDRAISING ANALYSIS | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $21,391 | RetainedByContractorAmt |
| Net To Organization | $0 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $21,391 | TotalRetainedByContractorsAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 11320 | PersonsServedCnt |
| Total Community Benefit Expns | $10,864,879 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,864,879 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 66 | ActivitiesOrProgramsCnt |
| Persons Served | 63090 | PersonsServedCnt |
| Total Community Benefit Expns | $53,186,765 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,164,567 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,022,198 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 71 | ActivitiesOrProgramsCnt |
| Persons Served | 74410 | PersonsServedCnt |
| Total Community Benefit Expns | $64,051,644 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,164,567 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,887,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02800 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 75 | ActivitiesOrProgramsCnt |
| Persons Served | 165644 | PersonsServedCnt |
| Total Community Benefit Expns | $3,359,712 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $119,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,240,414 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 14 | ActivitiesOrProgramsCnt |
| Persons Served | 19589 | PersonsServedCnt |
| Total Community Benefit Expns | $7,870,194 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,266,727 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,603,467 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 39 | ActivitiesOrProgramsCnt |
| Persons Served | 46848 | PersonsServedCnt |
| Total Community Benefit Expns | $18,087,494 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,735,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,351,834 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01460 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 1097 | PersonsServedCnt |
| Total Community Benefit Expns | $189,662 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $95,264 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $94,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 32 | ActivitiesOrProgramsCnt |
| Persons Served | 74697 | PersonsServedCnt |
| Total Community Benefit Expns | $946,994 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $59,116 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $887,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 163 | ActivitiesOrProgramsCnt |
| Persons Served | 307875 | PersonsServedCnt |
| Total Community Benefit Expns | $30,454,056 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,276,065 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,177,991 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02840 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 234 | ActivitiesOrProgramsCnt |
| Persons Served | 382285 | PersonsServedCnt |
| Total Community Benefit Expns | $94,505,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $58,440,632 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $36,065,068 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05640 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 30 | PersonsServedCnt |
| Total Community Benefit Expns | $350 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $350 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 70 | PersonsServedCnt |
| Total Community Benefit Expns | $38 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 243 | PersonsServedCnt |
| Total Community Benefit Expns | $4,216 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 60 | PersonsServedCnt |
| Total Community Benefit Expns | $700 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 25031 | PersonsServedCnt |
| Total Community Benefit Expns | $121,094 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $121,094 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 25434 | PersonsServedCnt |
| Total Community Benefit Expns | $126,398 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $126,398 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,851,191 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $210,190,102 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $222,169,824 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,979,722 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (9 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|
| 1 FOREST PARK IMAGING LLC | ||
| IMAGING SERVICES | 0.52890 | 0.47110 |
| 2 MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||
| MRI SERVICES | 0.49000 | 0.51000 |
| 3 MASON CITY AMBULATORY SURGERY CENTER LLC | ||
| AMBULATORY SURGICAL SERVICES | 0.51000 | 0.49000 |
| 4 MERCY HEART CENTER OUTPATIENT SERVICES LLC | ||
| OUTPATIENT ECHOCARDIOGRAPHY AND NUCLEAR MEDICINE SERVICES | 0.51000 | 0.49000 |
| 5 SURGICAL CENTER BUILDING ASSOCIATES LLC | ||
| OWNS AND LEASES SURGICAL CENTER BUILDING | 0.35000 | 0.65000 |
| 6 SIOUXLAND SURGERY CENTER LLP | ||
| AMBULATORY SURGICAL SERVICES | 0.30940 | 0.69060 |
| 7 HEALTH MANAGEMENT SERVICES LLC | ||
| AMBULATORY SURGICAL SVCS, OCCUPATIONAL HLTH SVCS AND PRIMARY CARE PHYS SVCS | 0.50000 | 0.50000 |
| 8 NORTH IOWA COMMUNITY HEALTHCARE LLC | ||
| HEALTHCARE PROVIDERS AND MANAGEMENT SERVICES | 0.20450 | 0.45450 |
| 9 PREFERRED HEALTH CHOICES LLC | ||
| MANAGEMENT SERVICES | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 6 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (6 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY MEDICAL CENTER-NORTH IOWA | |||||||||||||
| 1 | 1000 FOURTH STREET SW | MASON CITY | IA | 50401 | WWW.MERCYNORTHIOWA.COM | 170023H | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | ||
| MERCY MEDICAL CENTER-SIOUX CITY | |||||||||||||
| 2 | 801 FIFTH STREET | SIOUX CITY | IA | 51102 | WWW.MERCYSIOUXCITY.COM | 970112H | Yes (X) | Yes (X) | Yes (X) | EMPLOYED PHYSICIANS, SKILLED CARE UNIT | |||
| MERCY MEDICAL CENTER - DUBUQUE | |||||||||||||
| 3 | 250 MERCY DRIVE | DUBUQUE | IA | 52001 | WWW.MERCYDUBUQUE.COM | 310003H | Yes (X) | Yes (X) | Yes (X) | REHAB,LAB,PHARM, X-RAY,HOME CARE | |||
| SIOUXLAND SURGERY CENTER | |||||||||||||
| 4 | 600 SIOUX POINT ROAD | DAKOTA DUNES | SD | 57049 | WWW.SIOUXLANDSURG.COM | 10580 | Yes (X) | Yes (X) | |||||
| MERCY MEDICAL CENTER-NEW HAMPTON | |||||||||||||
| 5 | 308 NORTH MAPLE AVE | NEW HAMPTON | IA | 50659 | WWW.MERCYNEWHAMPTON.COM | 190022H | Yes (X) | Yes (X) | EMPLOYED PHYSICIANS | Yes (X) | |||
| MERCY MEDICAL CENTER - DYERSVILLE | |||||||||||||
| 6 | 1111 THIRD STREET SW | DYERSVILLE | IA | 52040 | WWW.MERCYDUBUQUE.COM/MERCY-DYERSVILLE | 310181H | Yes (X) | Yes (X) | Yes (X) | REHAB,LAB,PHARM, X-RAY,HOME CARE | Yes (X) | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (6 entries)
| FacilityFacilityNum | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | State RegulationStateRegulationInd | ResidencyResidencyInd | Other FactorsOtherFactorsInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Other WebsiteOtherWebsiteInd | Other Website URLOtherWebsiteURLTxt | No Emergency CareNoEmergencyCareInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MERCY MEDICAL CENTER-NORTH IOWA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||||
| MERCY MEDICAL CENTER-SIOUX CITY | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.MERCYSIOUXCITY.COM/COMMUNITY-BENEFIT | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | |||||||
| MERCY MEDICAL CENTER-DUBUQUE | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 11 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | WWW.MERCYDUBUQUE.COM/COMMUNITY-BENEFIT | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |||||
| SIOUXLAND SURGERY CENTER | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 150.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | Yes (X) | 0 | 0 | Yes (X) | WWW.MERCYSIOUXCITY.COM/COMMUNITY-BENEFIT | Yes (X) | |||||||||
| MERCY MEDICAL CENTER-NEW HAMPTON | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (1) | 0 | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |||||||||
| MERCY MEDICAL CENTER-DYERSVILLE | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | Yes (1) | Yes (X) | SEE SCHEDULE H, PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 200.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |||||
Supplemental Information SupplementalInformationGrp (33 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MERCY MEDICAL CENTER-NORTH IOWA | PART V, SECTION B, LINE 3: TRAINED FACILITATORS LED THESE FOCUS GROUPS: HISPANIC COMMUNITY GROUP, COMMUNITY KITCHEN GROUP, AND SENIOR CITIZENS GROUP. A UNIVERSITY OF DES MOINES PUBLIC HEALTH CONSULTANT-LED SURVEY WAS USED FOR FIVE PUBLICIZED COMMUNITY LISTENING GROUPS. A QUESTIONNAIRE SURVEY WAS EMAILED TO THE STAFF OF THE LARGEST EMPLOYER IN NORTH IOWA AS WELL AS TO SOCIAL SERVICE AGENCIES IN THE AREA AND TO THE MINISTERIAL GROUP AT THE COUNTY SEAT. INPUT FROM THE COMMUNITY BENEFIT TASK FORCE REPRESENTS HOSPITAL STAFF WHO DIRECTLY TOUCH THE UNINSURED AND UNDERINSURED POPULATION (FINANCIAL AND MEDICATION ASSISTANCE, PHARMACISTS, CASE MANAGEMENT, HISPANIC CLINIC, BEHAVIORAL HEALTH, COMMUNITY CARE COORDINATION PROJECT (IOWA SAFETY NET FUNDED) ETC.), AS WELL AS REPRESENTATIVES OF COMMUNITY HUMAN SERVICE AGENCIES (PUBLIC HEALTH, COMMUNITY ACTION, SALVATION ARMY, HOMELESS SHELTERS, CRISIS INTERVENTION, CERRO GORDO COUNTY FREE CLINIC (NON-MERCY), ETC.), SCHOOL SYSTEMS, MINISTERIAL, RETIRED MILITARY, AND RETIRED HOSPITAL ADMINISTRATION. |
| MERCY MEDICAL CENTER-SIOUX CITY | PART V, SECTION B, LINE 3: MERCY MEDICAL CENTER-SIOUX CITY'S (SC) STAFF CONSULTED AGENCIES PROVIDING SOCIAL SERVICE DIRECTLY TO THE POOR AND THE MARGINALIZED. MERCY MEDICAL CENTER-SC NETWORKED WITH LOCAL CHURCHES AND HOSTED COMMUNITY EVENTS ON SITE AT THE HOSPITAL AND IN THE COMMUNITY. COMMUNITY MEMBERS WHO WOULD BE DIRECT RECIPIENTS OF THE SERVICES PARTICIPATED AT THESE EVENTS ALONG WITH PROVIDERS. THIS INFORMATION WAS SUPPLEMENTED WITH RESEARCH FROM THE SIOUXLAND SOCIAL SCIENCE RESEARCH CENTER. IN EARLY 2013, BRIAR CLIFF UNIVERSITY'S SIOUXLAND RESEARCH CENTER (SRC) WAS CONTACTED BY THE COMPREHENSIVE STRATEGY COUNCIL ABOUT CONDUCTING A STUDY OF WOODBURY COUNTY RESIDENTS WHOSE INCOME LEVELS FELL AT OR BELOW THE POVERTY LEVEL. THE PRIMARY PURPOSE OF THE STUDY WAS TO HELP DETERMINE WHAT BARRIERS, IF ANY, PREVENTED RESIDENTS FROM UTILIZING SOCIAL SERVICE AGENCIES IN THE SIOUXLAND AREA. TO HELP ANSWER THIS QUESTION, THE SRC FIRST CONDUCTED FOCUS GROUPS WITH MEMBERS OF THE TARGET POPULATION, AND THEN MAILED SURVEYS TO APPROXIMATELY 1500 WOODBURY COUNTRY RESIDENTS WHO MET STUDY CRITERIA. MERCY MEDICAL CENTER-SC PARTICIPATES IN MONTHLY COLLABORATIVE SESSIONS AS PART OF THE HEALTHY SIOUXLAND INITIATIVE. THIS GROUP HOLDS QUARTERLY JOINT MEETINGS WITH THE SIOUXLAND COMPREHENSIVE COLLABORATIVE.MERCY MEDICAL CENTER-SC MET WITH THE BOARD OF DIRECTORS, ADMINISTRATORS, AND KEY PHYSICIANS FROM THE SIOUXLAND SURGERY CENTER TO SOLICIT INPUT AND PARTICIPATION IN THE COMMUNITY BENEFIT PLANS FOR THE TRI-STATE AREA. MERCY MEDICAL CENTER-SC PARTICIPATED IN THE CONVOY OF HOPE AND PROVIDED DIRECT EDUCATION AND RECEIVED DIRECT INPUT REGARDING NEEDS FROM 4,000 POOR AND/OR MARGINALIZED IN OUR COMMUNITY. |
| MERCY MEDICAL CENTER-DUBUQUE | PART V, SECTION B, LINE 3: THE PROCESS INVOLVED GATHERING COMMUNITY STAKEHOLDERS WHO HAVE A ROLE IN THE DELIVERY AND PARTNERSHIP OF PUBLIC HEALTH SERVICES. A STEERING COMMITTEE WAS FORMED TO OVERSEE THE DUBUQUE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT -HEALTH IMPROVEMENT PLAN PROCESS. THE STEERING COMMITTEE CONSISTED OF STAFF FROM THE COUNTY BOARD OF HEALTH, COUNTY HEALTH DEPARTMENT, DUBUQUE VISITING NURSE ASSOCIATION, THE CITY OF DUBUQUE HEALTH SERVICES DEPARTMENT, AND MERCY MEDICAL CENTER. AS DESCRIBED IN THE CHNA DOCUMENT, FOUR COMMUNITY FORUMS WERE HELD ON DIFFERENT DAYS OF THE WEEK, TIMES OF THE DAY, AND LOCATIONS AROUND THE COUNTY TO PROVIDE OPPORTUNITIES FOR COMMUNITY MEMBERS TO PROVIDE INPUT TO THE PLANNING PROCESS. THE MEETINGS WERE WIDELY PUBLICIZED IN THE LOCAL NEWSPAPER, HOSPITAL NEWSLETTERS, AND THE NEWSLETTERS AND WEBSITES OF OTHER COMMUNITY ORGANIZATIONS. |
| SIOUXLAND SURGERY CENTER | PART V, SECTION B, LINE 3: SIOUXLAND SURGERY CENTER COLLABORATED WITH MERCY MEDICAL CENTER - SIOUX CITY AND UNITY POINT-ST. LUKE'S REGIONAL MEDICAL CENTER IN CONDUCTING THE CHNA. PLEASE SEE EXPLANATION UNDER MERCY MEDICAL CENTER - SIOUX CITY FOR MORE INFORMATION. |
| MERCY MEDICAL CENTER-NEW HAMPTON | PART V, SECTION B, LINE 3: THE ASSESSMENT PROCESS WAS INITIATED BY MERCY MEDICAL CENTER - NEW HAMPTON (MMC-NH). A PLANNING TEAM WAS FORMED CONSISTING OF REPRESENTATIVES FROM HOSPITAL GOVERNANCE, LEADERSHIP AND MEDICAL STAFF, AREA EMPLOYERS, SCHOOL DISTRICTS AND AREA HEALTH PROFESSIONALS. FACILITATED BY AN OUTSIDE CONSULTANT, FOUR SEPARATE DISCUSSION GROUPS WERE HELD LOCALLY. THE GROUPS REPRESENTED VARYING SECTORS IN THE COMMUNITY: (1) SOCIAL SERVICE PARTNERS, (2) PATIENTS, (3) COMMUNITY/BUSINESS REPRESENTATIVES, AND (4) INDUSTRIAL WORKERS. THERE WAS A 63% RESPONSE TO INVITATIONS TO PARTICIPATE. THE PATIENT GROUP WAS PULLED RANDOMLY FROM A PATIENT LISTING OVER THE PRECEDING 6 MONTHS, SOCIAL SERVICE PARTNERS WERE A CROSS-SECTION OF THE AGENCIES MMH-NH WORKS CLOSELY WITH, AND COMMUNITY LEADERS/BUSINESS OWNERS WERE SELECTED FOR THEIR KNOWLEDGE OF THE COMMUNITY. INDUSTRIAL WORKERS ON GROUP 4 WERE IDENTIFIED BY THEIR EMPLOYER.FOUR PARTICIPANTS WERE FROM OUTSIDE NEW HAMPTON (FREDERICKSBURG, LAWLER AND ALTA VISTA); ALL OTHERS WERE FROM NEW HAMPTON. THE OUTSIDE CONSULTANT COLLATED AND ANALYZED THE FOCUS GROUP RESULTS WITH SUPPORT FROM MERCY MEDICAL CENTER - NORTH IOWA'S PLANNING & MARKETING TEAM IN MASON CITY. |
| MERCY MEDICAL CENTER-DYERSVILLE | PART V, SECTION B, LINE 3: THE PROCESS INVOLVED GATHERING COMMUNITY STAKEHOLDERS WHO HAVE A ROLE IN THE DELIVERY AND PARTNERSHIP OF PUBLIC HEALTH SERVICES. A STEERING COMMITTEE WAS FORMED TO OVERSEE THE DUBUQUE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT -HEALTH IMPROVEMENT PLAN PROCESS. THE STEERING COMMITTEE CONSISTED OF STAFF FROM THE COUNTY BOARD OF HEALTH, COUNTY HEALTH DEPARTMENT, DUBUQUE VISITING NURSE ASSOCIATION, THE CITY OF DUBUQUE HEALTH SERVICES DEPARTMENT, AND MERCY MEDICAL CENTER. AS DESCRIBED IN THE CHNA DOCUMENT, FOUR COMMUNITY FORUMS WERE HELD ON DIFFERENT DAYS OF THE WEEK, TIMES OF THE DAY, AND LOCATIONS AROUND THE COUNTY TO PROVIDE OPPORTUNITIES FOR COMMUNITY MEMBERS TO PROVIDE INPUT TO THE PLANNING PROCESS. THE MEETINGS WERE WIDELY PUBLICIZED IN THE LOCAL NEWSPAPER, HOSPITAL NEWSLETTERS, AND THE NEWSLETTERS AND WEBSITES OF OTHER COMMUNITY ORGANIZATIONS. |
| MERCY MEDICAL CENTER-SIOUX CITY | PART V, SECTION B, LINE 4: MERCY MEDICAL CENTER - SIOUX CITY'S CHNA WAS CONDUCTED WITH ST. LUKE'S REGIONAL MEDICAL CENTER AND SIOUXLAND SURGERY CENTER. |
| MERCY MEDICAL CENTER-DUBUQUE | PART V, SECTION B, LINE 4: MERCY MEDICAL CENTER - DUBUQUE CONDUCTED ITS CHNA WITH MERCY MEDICAL CENTER - DYERSVILLE. |
| SIOUXLAND SURGERY CENTER | PART V, SECTION B, LINE 4: MERCY MEDICAL CENTER - SIOUX CITY AND ST. LUKE'S REGIONAL MEDICAL CENTER |
| MERCY MEDICAL CENTER-DYERSVILLE | PART V, SECTION B, LINE 4: MERCY MEDICAL CENTER - DYERSVILLE CONDUCTED ITS CHNA WITH MERCY MEDICAL CENTER - DUBUQUE. |
| MERCY MEDICAL CENTER-SIOUX CITY | PART V, SECTION B, LINE 5D: THE CHNA WAS DISTRIBUTED TO SOCIAL AGENCIES AND THE PLAN TO ADDRESS UNMET NEEDS WAS EXPLAINED. |
| MERCY MEDICAL CENTER-NORTH IOWA | PART V, SECTION B, LINE 7: AS THE TASK FORCE PRIORITIES WERE STUDIED MORE CLOSELY IN LIGHT OF LIMITED CAPACITY AND ACTIVITY ALREADY IN PLACE, THE FOLLOWING IDENTIFIED NEEDS WERE SELECTED TO NOT BE DIRECTLY ADDRESSED:1. COMMUNITY CONSCIOUSNESS OF COMMUNITY WELLNESS IS REFLECTED IN ITS HIGH RANK. HOWEVER, THE COMMUNITY IS ALREADY ADDRESSING THIS NEED IN A VARIETY OF COLLABORATIVE WAYS.2. THE NEED FOR IMPROVED PARENTING SKILLS/SELF-RESPONSIBILITY IS CAUSAL TO MANY OTHER NEEDS AND IS BEING ADDRESSED THROUGH INTRODUCTION OF THE NURTURED HEART APPROACH FOR COMMUNICATION STYLE ACROSS HUMAN SERVICE AGENCIES AND HOSPITAL HEALTH COACHES. 3. CHRONIC DISEASE MANAGEMENT FOR DIABETES AND HEART DISEASE ARE COMPONENTS OF SEVERAL CURRENT COMMUNITY-WIDE INITIATIVES.4. TRANSPORTATION WILL ALWAYS BE A BARRIER IN RURAL AREAS. THIS ASPECT OF "ACCESS TO CARE" IS A SHARED RESPONSIBILITY WITHIN THE BROADER COMMUNITY AND THERE ARE GROUPS ALREADY LOOKING AT THIS AND SEEKING ADVOCACY AT THE STATE LEVEL.5. THE ISSUE OF SAFETY HAS A SCOPE OR SERVICE THAT IS VERY BROAD, ENCOMPASSING FARM ACCIDENTS, MOTORCYCLE ACCIDENTS, HOME FALLS, ETC. CAPACITY DOES NOT ALLOW A TARGETED FOCUS AT THIS TIME. |
| MERCY MEDICAL CENTER-DUBUQUE | PART V, SECTION B, LINE 7: THE FOLLOWING PROBLEMS OR NEEDS WERE IDENTIFIED, BUT NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY OR OTHER REASONS LISTED. 1. CANCER PREVENTION/EARLY DETECTION: TOBACCO USE (SMOKING 16%) 44% RATE (STATE 39.5%/100,000). 2. SUBSTANCE ABUSE (BINGE DRINKING, MARIJUANA USE, PRESCRIPTION DRUGS, TOBACCO, ALCOHOL); INCLUDES HIGH RISK BEHAVIOR BY YOUTH USING ALCOHOL AND DRUG USE. 3. MENTAL HEALTH ACCESS IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF HUMAN RESOURCES OR STAFF. 4. HIGH RISK SEXUAL BEHAVIORS INCLUDING YOUTH INITIATING SEXUAL ACTIVITY AT YOUNGER AGE IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF FINANCIAL RESOURCES. 5. PREVENTION/SCREENING FOR CHRONIC DISEASE. 6. ACCESS TO PRENATAL CARE IN 1ST TRIMESTER OF PREGNANCY. 7. NEED FOR INCREASED EDUCATION ON HEALTHY LIFESTYLE BEHAVIORS (INCLUDING REGULAR EXERCISE AND HEALTHY DIET/NUTRITION HABITS) AMONG YOUNG (PRE-SCHOOL TO GRADE SCHOOL) CHILDREN IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND COMMUNITY PARTNERS DO NOT EXIST. 8. ACCESS TO MEDICAL AND DENTAL CARE FOR ALL AGES AND ACCESS TO VACCINES FOR ADULTS IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF FINANCIAL RESOURCES.9. RESPITE CARE SERVICES FOR CAREGIVERS IN THE HOME SETTING IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF ACCESS TO TECHNICAL ASSISTANCE AND SERVICES. 10. COMMUNITY AWARENESS TO ACCESS SERVICES FOR RESIDENTS/FAMILIES DISCHARGED FROM THE MILITARY AND VETERANS REGARDLESS OF AGE IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY, LACK OF ACCESS TO TECHNICAL ASSISTANCE AND SERVICES, AND LEAD ORGANIZATION DOES NOT EXIST. |
| SIOUXLAND SURGERY CENTER | PART V, SECTION B, LINE 7: SIOUXLAND SURGERY CENTER ADDRESSED COMMUNITY HEALTH NEEDS WITHIN THE SCOPE OF THE HOSPITAL'S EXPERTISE (EXERCISE AND NUTRITION FOR YOUTH, POVERTY, AND SOCIAL DETERMINANTS IMPACTING HEALTH). MENTAL HEALTH SERVICES AND PRIMARY CARE ARE NOT WITHIN THE SCOPE OF THE ORGANIZATION, AND OTHERS IN THE COMMUNITY ARE BETTER SKILLED TO ADDRESS THESE NEEDS. |
| MERCY MEDICAL CENTER-NEW HAMPTON | PART V, SECTION B, LINE 7: MMC-NH HAS CHOSEN NOT TO DIRECTLY ADDRESS THESE COMMUNITY NEEDS: PHYSICAL INACTIVITY AND ACCESS TO RECREATION AND FITNESS FACILITIES. THOUGH THE 8.04 ESTABLISHMENT RATE PER 100,000 POPULATION IS WELL BELOW BOTH IOWA'S AND THE COUNTRY'S AVERAGES, MMC-NH BELIEVES THAT WORKING WITH AND THROUGH THE CHICKASAW WELLNESS CENTER TO MAXIMIZE ITS ALREADY-EXCELLENT ROSTER OF PROGRAMS AND SERVICES IS A MORE EFFECTIVE USE OF SCARCE COMMUNITY RESOURCES.CHICKASAW COUNTY'S PERCENT OF MEDICARE ENROLLEES WITH DIABETES HAVING AN ANNUAL EXAM (87.21%) IS AGAIN BELOW IOWA'S BENCHMARK, AS A MEMBER OF THE MERCY HEALTH NETWORK, MMC-NH BELIEVES THAT WORKING WITHIN THE NETWORK'S OVERALL STRATEGY FOR MANAGING DIABETES AND OTHER CHRONIC DISEASES IS, AGAIN, A MORE EFFECTIVE USE OF SCARCE INSTITUTIONAL RESOURCES. MMC-NH'S CLINICAL TEAM, INCLUDING PHYSICIANS, IS PLAYING AN ACTIVE ROLE IN BRINGING THE NETWORK'S METHODOLOGIES TO NEW HAMPTON AND CHICKASAW COUNTY. |
| MERCY MEDICAL CENTER-DYERSVILLE | PART V, SECTION B, LINE 7: THE FOLLOWING PROBLEMS OR NEEDS WERE IDENTIFIED, BUT NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY OR OTHER REASONS LISTED. 1. CANCER PREVENTION/EARLY DETECTION: TOBACCO USE (SMOKING 16%) 44% RATE (STATE 39.5%/100,000). 2. SUBSTANCE ABUSE (BINGE DRINKING, MARIJUANA USE, PRESCRIPTION DRUGS, TOBACCO, ALCOHOL); INCLUDES HIGH RISK BEHAVIOR BY YOUTH USING ALCOHOL AND DRUG USE. 3. MENTAL HEALTH ACCESS IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF HUMAN RESOURCES OR STAFF. 4. HIGH RISK SEXUAL BEHAVIORS INCLUDING YOUTH INITIATING SEXUAL ACTIVITY AT YOUNGER AGE IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF FINANCIAL RESOURCES. 5. PREVENTION/SCREENING FOR CHRONIC DISEASE. 6. ACCESS TO PRENATAL CARE IN 1ST TRIMESTER OF PREGNANCY. 7. NEED FOR INCREASED EDUCATION ON HEALTHY LIFESTYLE BEHAVIORS (INCLUDING REGULAR EXERCISE AND HEALTHY DIET/NUTRITION HABITS) AMONG YOUNG (PRE-SCHOOL TO GRADE SCHOOL) CHILDREN IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND COMMUNITY PARTNERS DO NOT EXIST. 8. ACCESS TO MEDICAL AND DENTAL CARE FOR ALL AGES AND ACCESS TO VACCINES FOR ADULTS IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF FINANCIAL RESOURCES.9. RESPITE CARE SERVICES FOR CAREGIVERS IN THE HOME SETTING IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY AND LACK OF ACCESS TO TECHNICAL ASSISTANCE AND SERVICES. 10. COMMUNITY AWARENESS TO ACCESS SERVICES FOR RESIDENTS/FAMILIES DISCHARGED FROM THE MILITARY AND VETERANS REGARDLESS OF AGE IS NOT INCLUDED IN THE HEALTH IMPROVEMENT PLAN BECAUSE OF COMPETING PROJECTS OR PRIORITIES IN THE COMMUNITY, LACK OF ACCESS TO TECHNICAL ASSISTANCE AND SERVICES, AND LEAD ORGANIZATION DOES NOT EXIST. |
| MERCY MEDICAL CENTER-NORTH IOWA | PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| MERCY MEDICAL CENTER-SIOUX CITY | PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| MERCY MEDICAL CENTER-DUBUQUE | PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| MERCY MEDICAL CENTER-NEW HAMPTON | PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| MERCY MEDICAL CENTER-DYERSVILLE | PART V, SECTION B, LINE 12I: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTHCARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. |
| MERCY MEDICAL CENTER-NORTH IOWA | PART V, SECTION B, LINE 14G: SIGNS ARE POSTED AND BROCHURES ARE AVAILABLE IN PATIENT REGISTRATION AREAS (INCLUDING CENTRAL ADMISSIONS, EMERGENCY DEPARTMENT AND MERCY CLINIC RECEPTION AREAS) EXPLAINING THAT ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION FOR THE FINANCIAL COUNSELORS. COUNSELORS ALSO PROVIDE THE POLICY TO PATIENTS WHEN REQUESTED.ASSISTANCE AVAILABILITY AND CONTACT INFORMATION FOR THE FINANCIAL COUNSELORS IS PRINTED ON PATIENT BILLING STATEMENTS. |
| MERCY MEDICAL CENTER-SIOUX CITY | PART V, SECTION B, LINE 14G: SUMMARY INFORMATION IS PROVIDED TO PATIENTS IN THEIR ADMISSION PACKETS RELATED TO FINANCIAL ASSISTANCE AND PATIENT BALANCE RESOLUTION. BROUCHURES ARE AVAILABLE IN CENTRAL REGISTRATION AND THE EMERGENCY DEPARTMENT THAT SUMMARIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE FOR PATIENTS. SUMMARY STATEMENTS ARE PRESENT ON THE PATIENTS BILL STATING THAT ASSISTANCE MAY BE AVAILABLE. FINANCIAL COUNSELORS DO VISIT WITH ALL UNINSURED INPATIENTS AND OFFER ASSISTANCE THROUGH THE FINANCIAL ASSISTANCE PROGRAM. THE DETAILED POLICY IS AVAILABLE TO PATIENTS UPON REQUEST FROM ON-SITE FINANCIAL COUNSELORS NEAR CENTRAL REGISTRATION AND THE EMERGENCY DEPARTMENT. INFORMATION ON THE FINANCIAL ASSISTANCE PROGRAM CAN ALSO BE OBTAINED BY CALLING THE SHARED SERVICE CENTER CUSTOMER SERVICE LINE. A COMPREHENSIVE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL FACILITY'S WEBSITE. |
| MERCY MEDICAL CENTER-NEW HAMPTON | PART V, SECTION B, LINE 14G: BROCHURES ARE AVAILABLE IN PATIENT REGISTRATION AREAS (INCLUDING HOSPITAL REGISTRATION, EMERGENCY DEPARTMENT AND MERCY CLINIC RECEPTION AREAS) EXPLAINING THAT ASSISTANCE IS AVAILABLE AND THE CONTACT INFORMATION FOR THE FINANCIAL COUNSELORS. COUNSELORS ALSO PROVIDE THE POLICY TO PATIENTS WHEN REQUESTED.ASSISTANCE AVAILABILITY AND CONTACT INFORMATION FOR THE FINANCIAL COUNSELORS IS PRINTED ON PATIENT BILLING STATEMENTS. A COMPREHENSIVE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL FACILITY'S WEBSITE. |
| MERCY MEDICAL CENTER-NORTH IOWA | PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE. |
| MERCY MEDICAL CENTER-SIOUX CITY | PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE. |
| MERCY MEDICAL CENTER-DUBUQUE | PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE. |
| SIOUXLAND SURGERY CENTER | PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 150% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 151% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE. |
| MERCY MEDICAL CENTER-NEW HAMPTON | PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE. |
| MERCY MEDICAL CENTER-DYERSVILLE | PART V, SECTION B, LINE 20D: PATIENTS WITH INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES (FPG) ARE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF THE CHARGES FOR MEDICALLY NECESSARY SERVICES. PATIENTS WITH INCOME BETWEEN 201% AND 300% OF THE FPG RECEIVE A PERCENTAGE DISCOUNT OFF OF HOSPITAL CHARGES FOR MEDICALLY NECESSARY SERVICES, BASED UPON A SLIDING SCALE. |
| MERCY MEDICAL CENTER - NORTH IOWA - PART V, SECTION B, LINE 5A | HTTP://WWW.MERCYNORTHIOWA.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| MERCY MEDICAL CENTER - NEW HAMPTON - PART V, SECTION B, LINE 5A | HTTP://WWW.MERCYNEWHAMPTON.COM/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| MERCY MEDICAL CENTER - DYERSVILLE - PART V, SECTION B, LINE 5A | HTTP://WWW.MERCYDUBUQUE.COM/DYERSVILLE-COMMUNITY-BENEFIT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| MEDICAL ASSOCIATES WEST CAMPUS | ||||
| 1500 ASSOCIATES DRIVE | DUBUQUE | IA | 52001 | OCC. HEALTH, PHYS THER, AMBULATORY SURGERY |
| MEDICAL ASSOCIATES CLINIC | ||||
| 1240 BIG JACK ROAD | PLATTEVILLE | WI | 53818 | X-RAY, LAB, EMPLOYED PHYSICIANS |
| TRI-STATE OCCUPATIONAL HEALTH | ||||
| 1920 ELM STREET | DUBUQUE | IA | 52001 | PHYS THERAPY,EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 10988 BARTELL BLVD | GALENA | IL | 61036 | HOME CARE,LAB, EMPLOYED PHYSICIANS |
| MERCY MEDICAL CENTER - DYERSVILLE | ||||
| 1121 THIRD STREET SW | DYERSVILLE | IA | 52040 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 208 N 12TH STREET | BELLEVUE | IA | 52031 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 911 NW CARTER | ELKADER | IA | 52043 | EMPLOYED PHYSICIANS |
| CASCADE FAMILY HEALTH CENTER | ||||
| 805 JOHNSON STREET SW | CASCADE | IA | 52033 | EMPLOYED PHYSICIANS, LAB, X-RAY, PT |
| MEDICAL ASSOCIATES CLINIC | ||||
| 117 SOUTH MADISON | CUBA CITY | WI | 53807 | X-RAY, LAB, EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 560 PLEASANT ST | ELIZABETH | IL | 61028 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES CLINIC | ||||
| 107 S PAGE | MONONA | IA | 52159 | EMPLOYED PHYSICIANS |
| MEDICAL ASSOCIATES EAST CAMPUS | ||||
| 1000 LANGWORTHY | DUBUQUE | IA | 52001 | OCC. HEALTH, PHYSICAL THERAPY |
| MERCY DAKOTA DUNES | ||||
| 705 SIOUX POINT ROAD | DAKOTA DUNES | SD | 57049 | WEIGHT LOSS CENTER |
| MASON CITY SURGERY CENTER | ||||
| 990 4TH STREET | MASON CITY | IA | 50401 | AMBULATORY SURGERY |
| MERCY FAMILY PRACTICE - BUFFALO CENTER | ||||
| 115 NORTH MAIN | BUFFALO CENTER | IA | 50424 | X-RAY, LAB, EMPLOYED PHYSICIANS |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. |
| PART I, LINE 6A: | MERCY HEALTH SERVICES-IOWA (MHS-IA) REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.IN ADDITION, THE HOSPITAL DIVISIONS OF MERCY HEALTH SERVICES-IOWA INCLUDE A COPY OF THEIR MOST RECENT SCHEDULE H ON THEIR RESPECTIVE WEBSITES. TRINITY HEALTH ALSO INCLUDES MHS-IA'S MOST RECENTLY FILED SCHEDULE H ON ITS WEBSITE. |
| PART I, LINE 7: | THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITALS' COST ACCOUNTING SYSTEMS. |
| PART I, LN 7 COL(F): | THE FOLLOWING NUMBER, $23,661,369, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MERCY MEDICAL CENTER - NORTH IOWA (MMC-NI):AS THE LARGEST EMPLOYER IN OUR 14-COUNTY AREA, MHS-IA, DOING BUSINESS AS MERCY MEDICAL CENTER - NORTH IOWA TAKES CIVIC RESPONSIBILITY VERY SERIOUSLY. WORKFORCE DEVELOPMENT: NORTH IOWA IS NOT ALWAYS THE PREFERRED LOCATION OF CHOICE FOR MEDICAL PROFESSIONALS. FOR THIS REASON, MERCY MEDICAL CENTER - NORTH IOWA ACTIVELY RECRUITS PHYSICIANS IN AN EFFORT TO PROMOTE ACCESSIBLE HEALTH CARE TO THE RESIDENTS OF THE COMMUNITIES WE SERVE THAT HAVE BEEN DESIGNATED AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND/OR MEDICALLY UNDERSERVED AREA (MUA). THESE EFFORTS SUPPORT THE COMMUNITIES BY PROVIDING EXPERTISE AND HEALTHCARE SERVICES, AND, AS A CLAUSE IN THEIR CONTRACT STATES, SPECIAL CARE FOR INDIGENT AND UNDERSERVED POPULATIONS. MERCY MEDICAL CENTER - SIOUX CITY:THE CHANGING DEMOGRAPHICS OF THE SIOUXLAND AREA REQUIRE AN UNDERSTANDING OF AND COMMITMENT TO DIVERSITY AND INCLUSION. MERCY MEDICAL CENTER-SIOUX CITY IS ENGAGED IN A COMPREHENSIVE PHYSICIAN RECRUITING EFFORT TO BRING NEEDED PHYSICIANS TO HEALTH PROFESSIONAL SHORTAGE AREAS. PHYSICIANS ARE RECRUITED BASED ON COMMUNITY NEED/SHORTAGE. WE ADVOCATE FOR AND SPEND RESOURCES TO BRING PHYSICIANS TO OUR COMMUNITY. THE PHYSICIANS USUALLY HAVE PRIVILEGES AT BOTH LOCAL HOSPITALS. AREAS OF CONCERN/NEED ARE RADIATION ONCOLOGY, PSYCHIATRY, INTERNAL MEDICINE, OBSTETRICS/GYNECOLOGY, ANESTHESIOLOGY, CARDIOLOGY, AND NEUROLOGY. WE WERE SUCCESSFUL (IN COLLABORATION WITH UNITY POINT & THE SIOUXLAND MENTAL HEALTH CENTER) TO BRING A MUCH NEEDED PSYCHIATRIST TO THE AREA.MERCY MEDICAL CENTER - SIOUX CITY HAS PLEDGED FUNDS (DONATION) TO SUPPORT THE MAINTENANCE OF THE SHEPHERD'S GARDEN THAT WILL BE COMPLETED IN 2015.MERCY MEDICAL CENTER - SIOUX CITY (HUMAN RESOURCES) PARTNERED WITH NATIVE AMERICAN SCHOOLS IN WINNEBAGO, NEBRASKA ON PROJECT SEARCH. THIS JOINT EFFORT ENABLED NATIVE AMERICANS TO PARTICIPATE IN A 5TH YEAR SENIOR JOB TRAINING PROGRAM, WITH GRADUATION. THE PROGRAM IS WELL RECEIVED AND PRODUCED GREAT RESULTS FOR TRAINING AND HELPING YOUNG ADULTS BECOME EMPLOYABLE.MERCY MEDICAL CENTER - NEW HAMPTON (MMC-NH):AS ONE OF THE LARGEST EMPLOYERS IN THE AREA, MMC-NH TAKES ITS CIVIC RESPONSIBILITY VERY SERIOUSLY. SUPPORT OF AND CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS, EVENTS, AND PROGRAMS, SUCH AS THE CHAMBER, NEW HORIZONS, AND THE INDUSTRIAL DEVELOPMENT CORPORATION HELP IMPROVE THE ECONOMY OF MMC-NH'S CATCHMENT COUNTIES. BY PROMOTING ECONOMIC DEVELOPMENT, MMC-NH HELPS CREATE A COMMUNITY THAT CONTINUES TO BUILD ITSELF THROUGH THE LEADERS WHO WORK AND VOLUNTEER AT THE HOSPITAL. ECONOMIC STABILITY IS INTRINSICALLY LINKED TO THE PREVENTION OF HEALTH PROBLEMS ASSOCIATED WITH POVERTY, HOMELESSNESS, AND ENVIRONMENTAL CHALLENGES, AND IS CRUCIAL IF THE COMMUNITY HOPES TO MAINTAIN A VIABLE HOSPITAL COMPLEX WITH A BROAD SPECTRUM OF ESSENTIAL SERVICES. IN ADDITION TO SUPPORTING ECONOMIC DEVELOPMENT IN OUR REGION, MMC-NH ENCOURAGES ITS LEADERSHIP STAFF TO SUPPORT AND PROVIDE LEADERSHIP TO NON-PROFIT ORGANIZATIONS THROUGHOUT THE AREA. IN ORDER TO CREATE AWARENESS OF THE OPPORTUNITIES IN HEALTHCARE IN RURAL IOWA, MMC-NH COLLABORATES WITH THE HIGH SCHOOL TO PROVIDE THE SERVICE TO BRING IN STUDENTS TO SHADOW A VARIETY OF HEALTH-RELATED OCCUPATIONS IN ORDER TO SPARK INTEREST IN CONSIDERING A HEALTHCARE CAREER. MMC-NH ALSO IDENTIFIED A NEED FOR MEMBERS OF THE COMMUNITY TO MORE SAFELY DISPOSE OF THEIR SHARPS AND CONTAINERS. THE HOSPITAL NOW COLLABORATES WITH PHARMACIES IN NEW HAMPTON TO COLLECT THE CONTAINERS.MMC-NH PROVIDES SUPPORT AND EXPERTISE TO THE CHICKASAW CONNECTIONS. THIS PARTNERSHIP INCLUDES ACTIVE INVOLVEMENT FROM ALL OF OUR FAMILY MEDICINE PHYSICIANS AND THE MARKETING DEPARTMENT IN THIS UNDERAGE DRINKING COALITION.MMC-NH PARTICIPATES IN THE PARTNERS IN EDUCATION WITH OUR AREA SCHOOL TO EDUCATE THEM ON A VARIETY OF HEALTH TOPICS, FROM HAND WASHING AND HUMAN DEVELOPMENT, TO HEALTHCARE CAREERS AND HOSPITAL TOURS. WE PLAY AN ACTIVE ROLE IN THE EDUCATION SYSTEM.MMC-NH ALSO PROMOTES ECONOMIC DEVELOPMENT BY PARTICIPATING ON THE NORTHEAST IOWA COMMUNITY COLLEGE ADVISORY BOARD (NICC). NICC IS A PUBLIC, TAX-SUPPORTED, EDUCATIONAL INSTITUTION SERVING EIGHT COUNTIES IN NORTHEAST IOWA AND THE ADVISORY BOARD AIDS IN CONNECTING STUDENTS AND EMPLOYERS IN THE AREA TO PROMOTE THE GROWTH AND VITALITY OF OUR COMMUNITY. |
| PART III, LINE 2: | METHODOLOGY USED FOR LINE 2 - BAD DEBT EXPENSE REPORTED ON LINE 2 IS SHOWN AT COST AND WAS CALCULATED USING A COST TO CHARGE RATIO METHODOLOGY.ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. |
| PART III, LINE 3: | MERCY HEALTH SERVICES - IOWA, CORP. USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR CHARITY: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FY13 WAS THE FIRST YEAR MERCY HEALTH SERVICES - IOWA, CORP. UTILIZED THE PREDICTIVE MODEL WITH RESULTS USED FOR ANALYSIS ONLY. STARTING IN FY14, MERCY HEALTH SERVICES - IOWA, CORP. IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, MERCY HEALTH SERVICES - IOWA, CORP. IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. |
| PART III, LINE 4: | MERCY HEALTH SERVICES - IOWA, CORP. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOOTNOTE FROM PAGE 14 OF THOSE STATEMENTS: "THE CORPORATION RECOGNIZES A SIGNIFICANT AMOUNT OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED EVEN THOUGH THE CORPORATION DOES NOT ASSESS THE PATIENT'S ABILITY TO PAY AT THAT TIME. AS A RESULT, THE PROVISION FOR BAD DEBTS IS PRESENTED AS A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL PROVISIONS AND DISCOUNTS). FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR CHARITY CARE, THE CORPORATION ESTABLISHES AN ALLOWANCE TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. THIS ALLOWANCE IS ESTABLISHED BASED ON THE AGING OF ACCOUNTS RECEIVABLE AND THE HISTORICAL COLLECTION EXPERIENCE BY REGIONAL HEALTH MINISTRY AND FOR EACH TYPE OF PAYOR. A SIGNIFICANT PORTION OF THE CORPORATION'S PROVISION FOR DOUBTFUL ACCOUNTS RELATES TO SELF-PAY PATIENTS, AS WELL AS CO-PAYMENTS AND DEDUCTIBLES OWED TO THE CORPORATION BY PATIENTS WITH INSURANCE." |
| PART III, LINE 8: | MERCY HEALTH SERVICES - IOWA, CORP. DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CHA RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTHCARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. |
| PART III, LINE 9B: | MERCY HEALTH SERVICES - IOWA, CORP'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. COLLECTION PRACTICES FOR THE REMAINING BALANCES ARE CLEARLY OUTLINED IN EACH ORGANIZATION'S COLLECTION POLICY. THE HOSPITALS HAVE IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. |
| PART VI, LINE 2: | NEEDS ASSESSMENT - MERCY HEALTH SERVICES - IOWA HOSPITALS ASSESS THE HEALTH STATUS OF THE COMMUNITY IN THE NORMAL COURSE OF OPERATIONS AND IN THE CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. OUR HOSPITALS MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED, IN THE ASSESSMENT OF THE COMMUNITY.MERCY MEDICAL CENTER - NORTH IOWA AND MERCY MEDICAL CENTER - NEW HAMPTON EACH HAVE A LOCAL BOARD OF DIRECTORS COMPOSED OF AREA RESIDENTS, EMPLOYERS AND DEMOGRAPHIC GROUPS. THESE HOSPITALS ALSO COMMUNICATE WITH OTHER VARIOUS AGENCIES ABOUT WHAT SERVICES ARE NEEDED LOCALLY. IN PARTICULAR, OUR PRIMARY CARE PHYSICIANS HAVE A STRONG AWARENESS OF PATIENT NEEDS. TASK FORCES ARE CREATED WHEN SPECIAL CONCERNS ARISE. A RECENT EXAMPLE WAS DENTAL ACCESS. A COMMITTEE MEETS QUARTERLY THAT IS COMPRISED OF COMMUNITY MEMBERS AND HOSPITAL PERSONNEL THAT WORK DIRECTLY WITH THE UNINSURED, UNDERINSUED AND UNDERSERVED. THE COMMUNITY BENEFIT MINISTRY OFFICER INTERFACES REGUARLY WITH COMMUNITY SOCIAL SERVICE AGENCIES AND COMMITTEES.MERCY MEDICAL CENTER-SIOUX CITY STAFF ROUTINELY (WEEKLY) MEETS WITH VARIOUS COMMUNITY AGENCIES, CHURCHES, AND SCHOOLS IN SEARCH OF OPPORTUNITIES TO PARTNER TO ADDRESS (1) ACCESS TO PRIMARY CARE, (2) EXERCISE AND NUTRITION FOR YOUTH, (3) ACCESS TO MENTAL HEALTH SERVICES, AND (4) SOCIAL DETERMINANTS OF HEALTH GENERAL POVERTY, HOMELESSNESS , EDUCATION, AND HUNGER. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - MERCY HEALTH SERVICES-IOWA IS COMMITTED TO:- PROVIDING ACCESS TO QUALITY HEALTHCARE SERVICES WITH COMPASSION, DIGNITY AND RESPECT FOR THOSE WE SERVE, PARTICULARLY THE POOR AND THE UNDERSERVED IN OUR COMMUNITIES- CARING FOR ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES- ASSISTING PATIENTS WHO CANNOT PAY FOR PART OR ALL OF THE CARE THEY RECEIVE - BALANCING NEEDED FINANCIAL ASSISTANCE FOR SOME PATIENTS WITH BROADER FISCAL RESPONSIBILITIES IN ORDER TO SUSTAIN VIABILITY AND PROVIDE THE QUALITY AND QUANTITY OF SERVICES FOR ALL WHO MAY NEED CARE IN A COMMUNITYIN ACCORDANCE WITH AHA RECOMMENDATIONS, MHS-IA HAS ADOPTED THE FOLLOWING GUIDING PRINCIPLES WHEN HANDLING THE BILLING, COLLECTION AND FINANCIAL SUPPORT FUNCTIONS FOR OUR PATIENTS: - PROVIDE EFFECTIVE COMMUNICATIONS WITH PATIENTS REGARDING HOSPITAL BILLS- MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE FINANCIAL SUPPORT PROGRAMS- OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS- IMPLEMENT POLICIES FOR ASSISTING LOW-INCOME PATIENTS IN A CONSISTENT MANNER- IMPLEMENT FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES FOR ALL PATIENTS WITH PATIENT PAYMENT OBLIGATIONSMHS-IA COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES AND EXTERNAL PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES IS MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. THE AVAILABILITY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IS DISPLAYED IN VARIOUS ADMISSION AREAS THROUGHOUT THE HOSPITALS AND CLINICS. A "PATIENT FINANCIAL GUIDELINES" BROCHURE IS ALSO AVAILABLE AT EACH ADMISSION AREA. THIS BROCHURE PROVIDES INFORMATION REGARDING PAYMENT OPTIONS, FINANCIAL ASSISTANCE AND BILLING QUESTIONS. FINANCIAL COUNSELING IS ALSO PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. AT TIME OF ADMISSION, THE NAMES OF UNINSURED AND UNDERINSURED PATIENTS ARE GIVEN TO FINANCIAL COUNSELORS WHO MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTHCARE SERVICES. THE FINANCIAL COUNSELORS HAVE A GOOD WORKING RELATIONSHIP WITH THE DEPARTMENT OF HUMAN SERVICES AND VARIOUS COUNTY AND COMMUNITY PROGRAMS. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION FOR SERVICE. HOWEVER, DETERMINATION FOR FINANCIAL SUPPORT CAN BE MADE DURING ANY STAGE OF THE PATIENT'S STAY AFTER STABILIZATION OR COLLECTION CYCLE.THE HOSPITALS OFFER FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. OUTPATIENTS, REFERRALS, OR SELF-REFERRALS RECEIVE THE SAME ATTENTION AND ASSISTANCE FROM FINANCIAL COUNSELORS. CONTACT MAY BE BY PHONE AND/OR LETTER PROCESS IF FACE-TO-FACE CONTACT IS NOT POSSIBLE.INFORMATION REGARDING FINANCIAL ASSISTANCE PROGRAMS IS ALSO AVAILABLE ON THE HOSPITALS' WEBSITES, IN THE ADMISSION PACKAGE DURING INTAKE, AND "PATIENT ASSISTANCE" BROCHURES.ALL HOSPITALS HAVE ESTABLISHED WRITTEN POLICIES FOR BILLING, COLLECTION AND SUPPORT FOR PATIENTS WITH PAYMENT OBLIGATIONS.MERCY MEDICAL CENTER - NORTH IOWA AND MERCY MEDICAL CENTER - NEW HAMPTON:IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN SPANISH, REFLECTING THE OTHER PRIMARY LANGUAGE SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. PATIENT FINANCIAL SERVICES IS ABLE TO ASSIST SPANISH-SPEAKING PATIENTS WITH THE FINANCIAL APPLICATION PROCESS. A LANGUAGE LINE CONNECTION IS ALSO AVAILABLE FOR MORE THAN 170 OTHER LANGUAGES.MERCY MEDICAL CENTER - NORTH IOWA AND MERCY MEDICAL CENTER - NEW HAMPTON EDUCATE STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS ABOUT THESE POLICIES, WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT REGARDLESS OF THEIR INSURANCE STATUS OR THEIR ABILITY TO PAY FOR SERVICES. THE PATIENT FINANCIAL SERVICES DEPARTMENT HAS ITS OWN TRAINING DEPARTMENT AND TRAINERS. THE PATIENT REGISTRATION, FINANCIAL ASSISTANCE, PATIENT FINANCIAL SERVICES, CUSTOMER SERVICE, AND BILLING DEPARTMENTS RECEIVE TRAINING REGARDING THE POLICIES THAT ARE RELEVANT TO THEIR POSITIONS AND OUR MISSION VALUES. SCRIPTING IS USED AND FINANCIAL ASSISTANCE APPLICATIONS ARE AVAILABLE IN ENGLISH AND SPANISH. MERCY MEDICAL CENTER - NORTH IOWA ALSO PROVIDES FINANCIAL ASSISTANCE FOR PRESCRIBED MEDICATIONS. THERE ARE SEVERAL SHORT-TERM ASSISTANCE PROGRAMS, AS WELL AS A SOCIAL WORKER FACILITATING THE APPLICATION PROCESS FOR LONG-TERM ASSISTANCE FROM PHARMACEUTICAL PROGRAMS.MERCY MEDICAL CENTER - SIOUX CITY:MERCY MEDICAL CENTER-SIOUX CITY NOT ONLY COMMUNICATES FINANCIAL ASSISTANCE POLICIES VIA TRADITIONAL CHANNELS (REGISTRATION, AND BILLING); THE ORGANIZATION SHARES ITS FINANCIAL ASSISTANCE POLICY WITH OTHER SERVICE AGENCIES AND NOT-FOR-PROFIT ORGANIZATIONS. FOR EXAMPLE, THROUGH THE MISSION HEALTH PROGRAM, A COLLABORATION BETWEEN THE SIOUXLAND COMMUNITY HEALTH CENTER, MMC-SIOUX CITY AND UNITY POINT - ST. LUKE'S HOSPITAL, MERCY MEDICAL CENTER-SIOUX CITY REACHES OUT TO CHURCHES AND SCHOOLS TO FIND THOSE WHO MAY BE IN NEED OF FINANCIAL ASSISTANCE. PARTICIPANTS ARE PRE-QUALIFIED FOR FINANCIAL ASSISTANCE AT BOTH LOCAL HOSPITALS, AND ARE INVITED TO CHOOSE A MEDICAL HOME. THE MISSION HEALTH PROGRAM HAS OVER 1,400 ENROLLED PATIENTS, ALL OF WHOM HAVE A BETTER UNDERSTANDING AND REDUCED ANXIETY CONCERNING FINANCIAL OBLIGATIONS AND ASSISTANCE IF HOSPITALIZATION IS NEEDED. AS THE AFFORDABLE CARE ACT IS IMPLEMENTED MERCY WILL INCREASE EFFORTS TO EDUCATE PATIENTS REGARDING MEDICAID EXPANSION AND ASSIST WITH ENROLLMENT OF PATIENTS.FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTHCARE SERVICES. MERCY MEDICAL CENTER-SIOUX CITY SOCIAL WORKERS PROVIDE ASSISTANCE AND COUNSELING REGARDING FINANCIAL ASSISTANCE OPPORTUNITIES WITHIN THE ORGANIZATION, AND REFER PATIENTS AND FAMILIES TO APPROPRIATE AGENCIES FOR COVERAGE. MERCY MEDICAL CENTER-SIOUX CITY ALSO WORKS WITH THE MIDLANDS GROUP TO ENLIST PATIENTS IN QUALIFYING PROGRAMS. MERCY MEDICAL CENTER-SIOUX CITY UTILIZES A COMMUNITY NEEDS INDEX (CNI) TO TARGET SPECIFIC ZIP CODES WHERE PATIENTS IN NEED OF FINANCIAL ASSISTANCE OFTEN RESIDE. THE HOSPITAL HIRED A MINORITY OUTREACH COORDINATOR TO SOLICIT INPUT REGARDING MINORITY HEALTH AND SOCIAL NEEDS. THIS BI-LINGUAL PERSON ALSO ASSISTS IN EDUCATION REGARDING ACA AND MEDICAID EXPANSION OPPORTUNITIES.MERCY MEDICAL CENTER - DUBUQUE AND MERCY MEDICAL CENTER - DYERSVILLE:FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY HELP THEM OBTAIN AND PAY FOR HEALTH CARE SERVICES. MERCY MEDICAL CENTER-DUBUQUE CONTRACTS WITH A FIRM WITH A LONG TRACK RECORD OF COMPASSIONATE SERVICE TO PROVIDE COUNSELING, REFERRALS, AND ASSISTANCE TO PATIENTS IN DETERMINING ELIGIBILITY AND ENROLLING IN A WIDE VARIETY OF PUBLIC AND PRIVATE ASSISTANCE PROGRAMS, SUCH AS MEDICARE, MEDICAID, HAWK-I (AND THE CORRESPONDING SCHIPS PROGRAMS FOR ILLINOIS AND WISCONSIN) AND IOWA CARE, IOWA'S STATE ASSISTANCE PROGRAM FOR INDIGENT PERSONS.PATIENT ACCOUNTS COUNSELORS ARE AVAILABLE TO HELP PATIENTS UNDERSTAND THEIR BILLS AND FIND RESOURCES TO ASSIST IN PAYING THEM. MERCY MEDICAL CENTER-DUBUQUE ALSO OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. THIS SUPPORT IS AVAILABLE TO UNINSURED AND UNDERINSURED PATIENTS WHO DO NOT QUALIFY FOR PUBLIC PROGRAMS OR OTHER ASSISTANCE. NOTIFICATION ABOUT FINANCIAL ASSISTANCE, INCLUDING CONTACT INFORMATION, IS AVAILABLE IN BROCHURES AT EVERY SITE WHERE PATIENTS ARE ADMITTED, AND AT THE BILLING OFFICE, DESCRIBING MERCY'S CHARITY CARE POLICIES, THRESHOLDS, LIMITATIONS, AND PROCESS. AN APPLICATION FOR FINANCIAL ASSISTANCE IS PROVIDED WITH BILLING STATEMENTS. INFORMATION ABOUT MERCY'S CHARITY CARE POLICY IS ALSO INCLUDED IN THE "PATIENT AND VISITOR INFORMATION" GUIDEBOOK, WHICH IS AVAILABLE IN ENGLISH AND SPANISH, REFLECTING THE OTHER PRIMARY LANGUAGE SPOKEN BY THE POPULATION SERVICED BY THE HOSPITAL. BROCHURES ARE AVAILABLE IN ALL ADMISSION AREAS.SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO ALL HUMAN SERVICE AGENCIES WITHIN THE MERCY MEDICAL CENTER-DUBUQUE AND DYERSVILLE SERVICE AREAS. MERCY MEDICAL CENTER-DUBUQUE AND DYERSVILLE EDUCATE ALL STAFF MEMBERS WHO WORK CLOSELY WITH PATIENTS ABOUT THESE POLICIES, WITH AN EMPHASIS ON TREATING ALL PATIENTS WITH DIGNITY AND RESPECT. THIS TRAINING OCCURS AT THE TIME OF HIRE AND ALSO THROUGH IN-SERVICE TRAINING. |
| PART VI, LINE 4: | COMMUNITY INFORMATION - MERCY MEDICAL CENTER - NORTH IOWA SERVES A 14-COUNTY SERVICE AREA WITHIN A 70-MILE RADIUS STRETCHING IN EVERY DIRECTION FROM MASON CITY. THE PRIMARY SERVICE AREA CONSISTS OF CERRO GORDO AND WORTH COUNTIES IN IOWA, WHILE THE SECONDARY SERVICE AREA IS COMPRISED OF AN ADDITIONAL 12 CONTIGUOUS COUNTIES IN IOWA (BUTLER, CHICKASAW, FLOYD, FRANKLIN, HANCOCK, HARDIN, HOWARD, KOSSUTH, MITCHELL, PALO ALTO, WINNEBAGO, AND WRIGHT). IN 2012 THE 14-COUNTY SERVICE AREA HAD AN ESTIMATED POPULATION OF 204,551 ACCORDING TO NEILSEN COUNTY AND 2013 TRUVEN HEALTH ANALYTICS, INC. 94.1 PERCENT OF RESIDENTS ARE CAUCASIAN. HISPANICS, AT LESS THAN 3.7%, REPRESENT THE AREA'S LARGEST MINORITY GROUP. THE AVERAGE HOUSEHOLD INCOME IS $52,972. HOUSEHOLDS MAKING $25,000 OR LESS COMPRISE 25.4 PERCENT; THOSE MAKING FROM $25,000-$50,000 ARE 32.3 PERCENT; $50,000-$75,000 IS 22.8 PERCENT AND THOSE MAKING $75,000 OR MORE REPRESENT 19.4 PERCENT. UNEMPLOYMENT WENT DOWN IN MERCY - NORTH IOWA'S SERVICE AREA. IN OCTOBER 2011, THE UNEMPLOYMENT RATE WAS 4.9 PERCENT AND IN OCTOBER 2012, IT WAS 4.3 PERCENT, ACCORDING TO IOWA WORKFORCE DEVELOPMENT. THERE ARE 11 CRITICAL ACCESS HOSPITALS WITHIN MERCY - NORTH IOWA'S SERVICE AREA PROVIDING PRIMARY HEALTH CARE SERVICES, EIGHT OF WHICH ARE AFFILIATES. PATIENTS FROM THE REMAINING IOWA COUNTIES UTILIZE MERCY - NORTH IOWA FOR TERTIARY LEVEL CARE. THE UNIVERSITY OF IOWA HOSPITALS IN IOWA CITY AND MAYO CLINIC IN ROCHESTER, MINNESOTA ALSO PROVIDE TERTIARY CARE FOR THIS AREA.MERCY - NORTH IOWA'S MARKET SHARE FOR THE 14-COUNTY SERVICE AREA IN CALENDAR YEAR 2012 IS 52 PERCENT, AS REPORTED BY IOWA HOSPITAL ASSOCIATION DATA.MERCY MEDICAL CENTER - NEW HAMPTON SERVES THE CHICKASAW AREA AND SURROUNDING COUNTIES WITHIN A 20-MILE RADIUS STRETCHING IN EVERY DIRECTION FROM NEW HAMPTON. THE PRIMARY SERVICE AREA CONSISTS OF THE TOWNS OF NEW HAMPTON, FREDERICKSBURG, ALTA VISTA, IONIA, ELMA, WAUCOMA, LAWLER AND NASHUA. THE ESTIMATED POPULATION OF THIS AREA IS 13,500. ACCORDING TO THE U.S. CENSUS BUREAU, CHICKASAW COUNTY HAD AN ESTIMATED POPULATION OF 12,321 IN 2013. CHICKASAW COUNTY EXPERIENCED AN ESTIMATED .9% PERCENT DECLINE IN POPULATION FROM 2010-2013. THE STRESS THAT THIS TREND PLACES ON THE PROVISION OF SERVICES IS COMPOUNDED BY THE HIGHER THAN AVERAGE PROPORTION OF ELDERLY IN THE AREA. NINETEEN PERCENT OF THE POPULATION IN THE CHICKASAW AREA WAS OVER AGE 65 IN 2013, COMPARED TO 15 PERCENT FOR THE STATE AND 13 PERCENT FOR THE NATION. IOWA RANKS FIFTH IN PERCENTAGE OF POPULATION OVER THE AGE OF 65. THIS LARGE PERCENTAGE OF ELDERLY PRESENTS SPECIAL CHALLENGES TO HEALTH CARE PROVIDERS BECAUSE THE ELDERLY HAVE THE HIGHEST INCIDENCE OF DISEASE AND MORTALITY IN MOST CATEGORIES AND, CORRESPONDINGLY, ARE THE BIGGEST USERS OF HEALTH CARE SERVICES. IN ADDITION, MEDICARE PAYMENT SHORTFALLS PRESENT AN ADDITIONAL BURDEN FOR RURAL HEALTH PROVIDERS. FOR FISCAL YEAR 2014, 48.8 PERCENT OF MMC-NH'S REVENUES (HOSPITAL INPATIENT AND OUTPATIENT) WERE GENERATED FROM MEDICARE PATIENTS. THE MEDIAN HOUSEHOLD INCOME IN CHICKASAW COUNTY WAS ESTIMATED AT $43,741 IN 2013. INDIVIDUALS BELOW THE POVERTY LEVEL COMPRISE 10.1% OF THE POPULATION. THE FISCAL YEAR 2014 PAYER MIX AT POINT OF REGISTRATION INCLUDES 49% COVERED BY MEDICARE, 8% COVERED BY MEDICAID AND 5% SELF-PAY.MERCY MEDICAL CENTER-SIOUX CITY SERVES A 33-COUNTY AREA OF WESTERN IOWA, EASTERN NEBRASKA AND SOUTHEASTERN SOUTH DAKOTA, AN AREA THAT INCLUDES MANY ZIP CODES WITH A HIGH COMMUNITY NEED. IN ADDITION TO THE MAIN HOSPITAL IN SIOUX CITY, MERCY MEDICAL CENTER-SIOUX CITY OWNS RURAL HOSPITALS IN PRIMGHAR, IOWA, AND OAKLAND, NEBRASKA; MANAGES HOSPITALS IN PENDER, NEBRASKA AND HAWARDEN, IOWA; AND OPERATES A PRIMARY CARE CLINIC NETWORK, SPECIALTY CARE CLINICS AND HOME HEALTH SERVICES. MMC-SC ALSO PARTNERS WITH OTHER COMMUNITY HEALTHCARE PROVIDERS TO SPONSOR A REGIONAL CANCER CENTER, PARAMEDIC SERVICES, HOSPICE SERVICES, A FREESTANDING SURGERY CENTER AND A VARIETY OF OTHER HEALTH SERVICES.THE PRIMARY SERVICE AREA IS CONSIDERED URBAN (WITHIN SIOUX CITY). HOWEVER, MMC-SC SERVES MANY RURAL COMMUNITIES THROUGHOUT THE 33 COUNTY AREA, AND MANY DISTINCT ETHNIC AND CULTURAL GROUPS, INCLUDING HISPANIC, VIETNAMESE, SOMALI, AND NATIVE AMERICAN (WINNEBAGO, OMAHA, LAKOTA, AND PONCA TRIBES). THE AVERAGE HOUSEHOLD INCOME FOR THE 14-COUNTY SIOUX CITY AREA IS $55,562. ACCORDING TO THE STATE HEALTH ACCESS DATA ASSISTANCE CENTER, IN 2007, 27.9% PERCENT OF RESIDENTS WERE BELOW THE FEDERAL POVERTY GUIDELINES. MORE THAN 8.7% OF THE COMMUNITY IS UNINSURED, AND APPROXIMATELY 35.1% OF FAMILIES ARE ON MEDICAID OR OTHER ASSISTANCE PROGRAMS.ACCORDING TO 2012 NIELSEN COMPANY DATA, THE 14-COUNTY COMMUNITY HAS A POPULATION OF 301,832. EIGHT-TWO PERCENT OF THE POPULATION IS WHITE, 12% HISPANIC, 2% ASIAN & PACIFIC ISLANDER AND 1% BLACK. MEDICAID ENROLLMENT IS 34% IN NEBRASKA AND 37.5% IN SOUTH DAKOTA. THE PERCENT OF POPULATIONS IN EACH STATE BELOW 200% OF THE FEDERAL POVERTY LEVEL IS 28.8% IN NEBRASKA AND 30.9% IN SOUTH DAKOTA. SOUTH SIOUX CITY, NEBRASKA IS NOW A MINORITY MAJORITY COMMUNITY WITH LATINO AT 46% OF THE POPULATION. THE STUDENT POPULATION IN SOUTH SIOUX CITY SCHOOLS IS 70% LATINO.MERCY MEDICAL CENTER - DUBUQUE AND MERCY MEDICAL CENTER - DYERSVILLE: FOR PURPOSES OF THEIR COMMUNITY HEALTH NEEDS ASSESSMENTS, MERCY MEDICAL CENTER DUBUQUE AND MERCY MEDICAL CENTER - DYERSVILLE'S PRIMARY SERVICE AREA IS DUBUQUE COUNTY, IOWA. ABOUT 60% OF OUR INPATIENT CASES AND MORE THAN 75% OF OUR EMERGENCY DEPARTMENT CASES WERE FOR DUBUQUE COUNTY RESIDENTS.DUBUQUE COUNTY'S POPULATION IS 89,143. IT INCLUDES ONE URBAN COMMUNITY, THE CITY OF DUBUQUE. ITS 65 AND OVER POPULATION IS ALMOST AS HIGH AS IOWA'S, AND SIGNIFICANTLY HIGHER THAN THE U.S. AVERAGE FOR THIS AGE RANGE. CONVERSELY, THE 16-24 POPULATION IS NOTICEABLY LOWER THAN THE U.S. AVERAGE. ALTHOUGH MINORITY POPULATIONS IN DUBUQUE COUNTY HAVE INCREASED DURING THE LAST DECADE, THE POPULATION IS STILL 97.1% WHITE, WITH NO OTHER SINGLE RACIAL GROUP ACCOUNTING FOR MORE THAN 1%. THE COUNTY'S HISPANIC OR LATINO POPULATION IS 1.2%CONSIDERING ONLY THE POPULATION OF DUBUQUE COUNTY RESIDENTS WHO ARE 25 OR OLDER, DUBUQUE COUNTY HAS A HIGHER PERCENTAGE OF RESIDENTS WITH ONLY A HIGH SCHOOL DIPLOMA OR EQUIVALENT THAN IOWA AND THE U.S. THERE IS A SMALLER PERCENTAGE OF DUBUQUE COUNTY RESIDENTS WITH SOME COLLEGE THAN IOWA OR THE U.S.MEDIAN INCOME IN DUBUQUE COUNTY IS $39,582, SLIGHTLY HIGHER THAN IOWA, BUT LOWER THAN THE U.S. MEDIAN. IN THE COUNTY, HOUSEHOLDERS UNDER 25 AND OLDER THAN 65 ARE BELOW THAT MEDIAN, WHICH IS ALSO TRUE FOR IOWA AND THE U.S. PER CAPITA INCOME IN DUBUQUE COUNTY IS $19,600, EQUAL TO IOWA AND SOMEWHAT LOWER THAN THE U.S. DUBUQUE COUNTY BLACK PER CAPITA INCOME IS 51% OF WHITE PER CAPITA INCOME, COMPARED TO 61% IN IOWA AND 60% NATIONALLY. DUBUQUE COUNTY HISPANIC PER CAPITA INCOME IS 58% OF WHITE PER CAPITA INCOME, COMPARED TO 54% IN IOWA AND 51% NATIONALLY. THE GROWING ELDERLY POPULATION IS OF CONCERN TO THE COMMUNITY. WE ANTICIPATE A SHORTAGE OF HEALTH CARE WORKERS TO CARE FOR THE ELDERLY, LIMITED TRANSPORTATION OPTIONS, LIMITED ADULT DAY CARE OPTIONS AND LIMITED FUNDING FOR SERVICES FOR THE ELDERLY. THE HIGH COST OF PRESCRIPTION MEDICATIONS AND CHRONIC ILLNESSES CAUSING LONG-TERM DISABILITY PRESENT FINANCIAL CONCERNS AS WELL.SEVERAL HEALTH CONCERNS HAVE BEEN IDENTIFIED IN THE SERVICE AREA, INCLUDING WOMEN NOT RECEIVING PRENATAL CARE DURING THE FIRST TRIMESTER; A HIGHER THAN AVERAGE RATE OF PROSTATE, LUNG, BREAST AND COLORECTAL CANCER; OBESITY AND ITS CONTRIBUTION TO HEART DISEASE, DIABETES, ARTHRITIS, AND HIGH BLOOD PRESSURE; AN INCREASING INCIDENCE OF DIABETES IN BOTH CHILDREN AND ADULTS; HEART DISEASE; AND ASTHMA. THE RECENT COMMUNITY HEALTH ASSESSMENT ADDS OBESITY AND SPECIFICALLY CHILDHOOD OBESITY TO THESE CONCERNS. |
| PART VI, LINE 5: | OTHER INFORMATION - MERCY MEDICAL CENTER - NORTH IOWA (MMC-NI) HAS BEEN PROVIDING MANAGEMENT SERVICES FOR RURAL HOSPITALS SINCE 1978. THESE COMMUNITY HOSPITALS OFFER QUALITY HEALTH CARE AND YET ARE STILL ABLE TO TAKE ADVANTAGE OF ALL THE RESOURCES MERCY MEDICAL CENTER - NORTH IOWA HAS TO OFFER AS A MAJOR REFERRAL CENTER. MMC-NI EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED COMMUNITY HEALTHCARE PROVIDERS IN ORDER TO BEST MEET THE NEEDS OF THOSE WHO LIVE IN NORTH IOWA COMMUNITIES. MERCY MEDICAL CENTER - NORTH IOWA IS INTENTIONAL IN DEVELOPING TRIPLE AIM ACCOUNTABLE CARE ORGANIZATION (ACO) RELATIONSHIPS, COLLABORATING WITH COMMUNITY HEALTH PROVIDERS AND SOCIAL SERVICE AGENCIES IN CREATING SYSTEM OF CARE COORDINATION PROCESSES. THERE ARE NEARLY 100 PROFESSIONS REPRESENTING ALL ASPECTS OF HEALTHCARE IN OUR 14-COUNTY SERVICE AREA PARTICIPATING IN TRANSITIONS OF CARE, TO IMPROVE COMMUNICATION AND PROCESSES TO IMPROVE QUALITY AND SAFETY OF TRANSITIONS BETWEEN FACILITIES. THE TRIAD PROJECT, FOR PERSONS WITH THE CO-OCCURRING MORBIDITIES OF SUBSTANCE USE DISORDER, CHRONIC DISEASE AND POSSIBLY MENTAL HEALTH DISORDER, IS A COLLABORATIVE QUALITY IMPROVEMENT PROJECT. AN IOWA SAFETY NET GRANT WAS RECEIVED THROUGH THE IOWA PRIMARY CARE ASSOCIATION TO CREATE A COMMUNITY CARE COLLABORATION PROGRAM TO NOT ONLY ADDRESS ACCESS TO HEALTH INSURANCE AND QUALITY OF CARE, BUT TO ALSO COORDINATE REFERRALS FOR HUMAN SERVICE RESOURCES.AS A TEACHING HOSPITAL, MERCY MEDICAL CENTER - NORTH IOWA HOSTS A FAMILY PRACTICE RESIDENCY PROGRAM, PHARMACY RESIDENCY, CARDIOLOGY FELLOWSHIP, AND A SCHOOL OF RADIOLOGIC TECHNOLOGY. MERCY MEDICAL CENTER - NORTH IOWA IS A CLINICAL SITE FOR STUDENTS STUDYING TO BECOME PHYSICIANS, NURSES, PARAMEDICS, PHARMACISTS, MEDICAL ASSISTANTS AND OTHER ALLIED HEALTH PROFESSIONALS. IN ADDITION, THE MEDICAL CENTER MANAGES AN ADULT DAY CARE CENTER AND SUPPORTS HOMELESS SHELTERS FOR MEN AND WOMEN IN COLLABORATION WITH OTHER NON-PROFITS.AS A SOLE COMMUNITY PROVIDER, SPECIALIZED SERVICES INCLUDE A HEART CENTER, CANCER CENTER, DIABETES CENTER, STROKE CENTER, BARIATRIC CENTER, LEVEL II BIRTH CENTER AND A LEVEL II EMERGENCY CENTER. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. BECAUSE OF THE NEED BY INDIGENT ADULTS FOR DENTAL CARE, MERCY - NORTH IOWA PROVIDES A SUITE WITH TWO FULLY FURNISHED OPERATORIES TO ACCOMMODATE EMERGENT DENTAL NEEDS. HALF-DAY CLINICS ARE MANNED BY AREA DENTISTS AND DENTAL ASSISTANTS WHO VOLUNTEER THEIR TIME AND GUIDANCE. MERCY - NORTH IOWA INVESTS IN THE COMMUNITY TO ENHANCE THE HEALTH OF RESIDENTS BY PROVIDING:- SERVICES SUCH AS, FREE HEALTH SCREENINGS- SUBSIDIZED TRANSPORTATION TO ELIMINATE BARRIERS TO HEALTHCARE- MERCY FAMILY HEALTH LINE A 24-HOUR/7-DAY A WEEK TELEPHONE INFORMATION SERVICE- PARTICIPATION OF THE HOSPITAL KITCHEN IN PREPARATION OF MEALS ON WHEELS- MEDICAL SERVICES FOR RESIDENTS OF THE NORTHERN LIGHTS HOMELESS SHELTERS- VOLUNTEER SERVICES AS PROVIDED BY THE MERCY AMBASSADORS, THE HOSPITAL VOLUNTEER AUXILIARY, INCLUDING SCHOLARSHIPS, INFANT SEAT RENTALS, AND FACILITATION OF HEALTHCARE SCREENINGSMERCY MEDICAL CENTER-SIOUX CITY HAS EARNED MORE NATIONAL RECOGNITION FOR QUALITY PATIENT OUTCOMES THAN ANY OTHER HOSPITAL IN THE REGION. THE MEDICAL CENTER HAS EARNED MULTIPLE HONORS FOR ITS LEADERSHIP AND EXCELLENCE IN SEVERAL CLINICAL AREAS, INCLUDING CARDIAC CARE, ORTHOPEDIC SERVICES, VASCULAR SURGERY, STROKE CARE AND CANCER CARE.MERCY MEDICAL CENTER-SIOUX CITY IS HOME TO THE ONLY LEVEL II TRAUMA CENTER IN WESTERN IOWA, AND PROVIDES A VITAL, LIFESAVING LINK TO RURAL AREAS VIA MERCY AIR CARE, THE HOSPITAL'S HELICOPTER AMBULANCE SERVICE.MERCY MEDICAL CENTER-SIOUX CITY IS INVOLVED IN A NUMBER OF COMMUNITY VENTURES, AND SUPPORTS THE SIOUXLAND MEDICAL EDUCATION FOUNDATION (FAMILY PRACTICE RESIDENCY). WE ALSO WORK CLOSELY WITH WINNEBAGO INDIAN HEALTH SERVICES TO CLOSE HEALTH OUTCOMES DISPARITIES. IN ADDITION, THE MEDICAL CENTER COLLABORATES WITH ST. LUKE'S COLLEGE OF NURSING, WITCC SCHOOL OF NURSING AND BRIAR CLIFF UNIVERSITY SCHOOL OF NURSING.MERCY MEDICAL CENTER IS SHIFTING FOCUS AND COMMITTING RESOURCES TO PEOPLE-CENTERED HEALTH CARE. MERCY MEDICAL CENTER HAS RECEIVED BLUE ZONE DISTINCTION AS AN EMPLOYER AND IS WORKING TO ASSIST OTHERS TO RECEIVE THIS. RIVERSIDE ELEMENTARY IS ON SCHEDULE TO RECEIVE THIS DISTINCTION, IN PART DUE TO MERCY'S SUPPORT OF EXERCISE EQUIPMENT FOR STUDENTS AND PLUMBING TO SUPPORT A COMMUNITY GARDEN. MERCY MEDICAL CENTER-DUBUQUE PROVIDES SEVERAL SERVICES THAT ARE UNIQUE TO THE COMMUNITY, INCLUDING OPEN HEART SURGERY, NEONATAL INTENSIVE CARE AND INPATIENT COMMUNITY PSYCHIATRIC SERVICES. IN ADDITION, THE HOSPITAL OPERATES AN EMERGENCY ROOM AVAILABLE TO ALL REGARDLESS OF ABILITY TO PAY.MERCY MEDICAL CENTER - NEW HAMPTON:AS A SOLE COMMUNITY PROVIDER, MERCY MEDICAL CENTER - NEW HAMPTON PROVIDES A RANGE OF SPECIALIZED SERVICES, DIABETES EDUCATION AND NUTRITION AND AN EMERGENCY CENTER. EMERGENCY SERVICES ARE AVAILABLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. EMERGENCY SERVICES ARE PROVIDED AT A FINANCIAL LOSS, BUT ARE A CRITICALLY-NEEDED SERVICE. MERCY COOPERATES WITH OTHER AGENCIES TO IMPROVE OVERALL COMMUNITY HEALTH AND WELL-BEING. FOR EXAMPLE, WE SPONSOR A COMMUNITY GARDEN, AND PRODUCE IS PROVIDED TO THE COMMUNITY'S FOOD PANTRY (WHICH UTILIZES HOSPITAL SPACE, AT NO COST).THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED COMMUNITY HEALTHCARE PROVIDERS, IN ORDER TO BEST MEET THE NEEDS OF OUR NORTHEAST IOWA COMMUNITIES.MMC-NH HAS ABOUT 200 VOLUNTEERS, WHO SERVE IN NEARLY EVERY DEPARTMENT OF THE MEDICAL CENTER. FROM CLERICAL WORK TO PROVIDING PATIENT AND VISITOR SERVICES, MERCY VOLUNTEERS TRULY DO MAKE A DIFFERENCE. THROUGH FUNDRAISERS, THE VOLUNTEERS ALSO PROVIDE FINANCIAL SUPPORT TO A VARIETY OF AREAS WITHIN THE HOSPITAL. MERCY AUXILIARY AWARDS SCHOLARSHIPS TO HIGH SCHOOL AND NON-TRADITIONAL STUDENTS PURSUING EDUCATION IN THE HEALTHCARE FIELD. THE AUXILIARY ALSO SPONSORS NUMEROUS BLOOD DRIVES AND LUNCH-AND-LEARN EVENTS ON HEALTHCARE SUBJECTS. THEY ALSO PROVIDE WIGS AND TURBANS TO THOSE INDIVIDUALS WHO HAVE LOST THEIR HAIR DUE TO ILLNESS. |
| PART VI, LINE 6: | MERCY HEALTH SERVICES-IOWA IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH ANNUALLY REQUIRES THAT ALL MEMBER ORGANIZATIONS DEFINE - AND ACHIEVE - COMMUNITY BENEFIT GOALS THAT INCLUDE IMPLEMENTING NEEDED SERVICES OR EXPANDING ACCESS TO SERVICES FOR LOW-INCOME INDIVIDUALS. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITY THROUGH PROGRAMS SERVING THOSE WHO ARE POOR AND UNINSURED, HELPING MANAGE CHRONIC CONDITIONS LIKE DIABETES, PROVIDING HEALTH EDUCATION, PROMOTING WELLNESS AND REACHING OUT TO UNDERSERVED POPULATIONS. OVERALL, THE ORGANIZATION INVESTS MORE THAN $800 MILLION IN SUCH COMMUNITY BENEFITS AND WORKS TO ENSURE THAT ITS MEMBER HOSPITALS AND OTHER ENTITIES/AFFILIATES ENHANCE THE OVERALL HEALTH OF THE COMMUNITIES THEY SERVE BY ADDRESSING EACH COMMUNITY'S SPECIFIC NEEDS. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt |
|---|---|---|---|---|---|---|---|---|
| DUBUQUE COMMUNITY SCHOOLS | ||||||||
| 2500 CHANEY RD | DUBUQUE | IA | 52001 | 426001531 | PUBLIC SCHOOL | $15,000 | SUPPORT OF ATHLETIC TRAINER PROGRAM FOR 2 HIGH SCHOOLS | |
| WAHLERT CATHOLIC HIGH SCHOOL | ||||||||
| 2005 KANE ST | DUBUQUE | IA | 52001 | 420792429 | RELIGIOUS SCHOOL | $7,500 | SUPPORT OF ATHLETIC TRAINER PROGRAM FOR HIGH SCHOOL | |
| CRESCENT COMMUNITY HEALTH CENTER | ||||||||
| 1789 ELM ST SUITE A | DUBUQUE | IA | 52001 | 481302204 | 501(C)3 | $12,000 | SUPPORT FOR COMMUNITY GARDENING PROGRAM | |
| ST JOHN'S GUESTHOUSE | ||||||||
| 1296 WHITE ST | DUBUQUE | IA | 52001 | 237421408 | CHURCH | $10,000 | SUPPORT FOR ST. JOHN'S EVANGELICAL LUTHERAN GUESTHOUSE FOR THE HOMELESS | |
| STONEHILL BENEVOLENT FOUNDATION | ||||||||
| 3485 WINDSOR AVE | DUBUQUE | IA | 52001 | 421337556 | 501(C)3 | $10,000 | CONTRIBUTION FOR THEIR CAPITAL CAMPAIGN | |
| NORTH IOWA CORRIDOR ECONOMIC DEVELOPMENT CORPORATION | ||||||||
| 9 NORTH FEDERAL AVE | MASON CITY | IA | 50401 | 753190471 | 501(C)6 | $20,000 | ANNUAL INVESTOR CAMPAIGN PLEDGE | |
| NORTH IOWA COMMUNITY ACTION ORGANIZATION | ||||||||
| 218 5TH ST SW | MASON CITY | IA | 50402 | 420921505 | 501(C)3 | $58,300 | COMMUNITY PARTNERS CONTRACT | |
| FRANKLIN GENERAL HOSPITAL FOUNDATION | ||||||||
| 1720 CENTRAL AVE E | HAMPTON | IA | 50441 | 421412025 | 501(C)3 | $10,000 | HEALING RENEWING EXPANDING CAMPAIGN | |
| CITY OF MASON CITY | ||||||||
| 10 1ST ST NW | MASON CITY | IA | 50401 | 426004948 | 501(C)6 | $25,000 | BLUE ZONES PROJECT PLEDGE | |
| NORTHERN LIGHTS ALLIANCE FOR THE HOMELESS INC | ||||||||
| 307 NORTH MONROE | MASON CITY | IA | 50401 | 421501295 | 501(C)3 | $61,141 | SUPPORT OF EXECUTIVE SALARIES & BENEFITS | |
| MASON CITY DOWNTOWN ASSOCIATION | ||||||||
| 9 NORTH FEDERAL | MASON CITY | IA | 50401 | 481256121 | 501(C)3 | $30,000 | RAGBRAI SPONSORSHIP | |
| NORTHEAST IOWA COMMUNITY ACTION CORP | ||||||||
| 305 MONTGOMERY ST | DECORAH | IA | 52101 | 426092713 | 501(C)3 | $6,000 | COMMUNITY SUPPORT | $0 |
| BOYS AND GIRLS HOME AND FAMILY SERVICES | ||||||||
| PO BOX 1197 | SIOUX CITY | IA | 51102 | 930991860 | 501(C)3 | $5,000 | COMMUNITY SUPPORT | |
| BOYS CLUB OF SIOUX CITY INC | ||||||||
| 823 PEARL STREET | SIOUX CITY | IA | 51101 | 420940032 | 501(C)3 | $16,000 | COMMUNITY SUPPORT | |
| BRIAR CLIFF UNIVERSITY | ||||||||
| 3302 REBBECA ST | SIOUX CITY | IA | 51104 | 420707124 | 501(C)3 | $7,500 | COMMUNITY SUPPORT | |
| GIRL SCOUTS OF GREATER IOWA | ||||||||
| 10715 HICKMAN RD | URBANDALE | IA | 50322 | 420698218 | 501(C)3 | $5,000 | COMMUNITY SUPPORT | |
| MARY J TREGLIA COMMUNITY HOUSE | ||||||||
| 900 JENNINGS ST | SIOUX CITY | IA | 51105 | 420681107 | 501(C)3 | $15,000 | COMMUNITY SUPPORT | |
| BOY SCOUTS OF AMERICA 326 MID-AMERICA COUNCIL | ||||||||
| 12401 WEST MAPLE RD | OMAHA | NE | 68164 | 470376545 | 501(C)3 | $5,575 | COMMUNITY SUPPORT | |
| THE SHEPHERD'S GARDEN | ||||||||
| 608 NEBRASKA ST | SIOUX CITY | IA | 51101 | 272258821 | 501(C)3 | $10,000 | COMMUNITY SUPPORT | |
| SIOUXLAND COMMUNITY HEALTH CENTER | ||||||||
| 1021 NEBRASKA STREET | SIOUX CITY | IA | 51102 | 421374894 | 501(C)3 | $80,607 | COMMUNITY SUPPORT | |
| SIOUXLAND MENTAL HEALTH SERVICES | ||||||||
| PO BOX 1917 | SIOUX CITY | IA | 51102 | 426122297 | 501(C)3 | $10,000 | COMMUNITY SUPPORT | |
| THE SIOUXLAND Y | ||||||||
| 601 RIVERVIEW DRIVE | SOUTH SIOUX CITY | NE | 68776 | 420738980 | 501(C)3 | $10,000 | COMMUNITY SUPPORT | |
| SISTERS OF MERCY REGIONAL COMMUNITY OF DETROIT INC | ||||||||
| 29000 W 11 MILE RD | FARMINGTON HILLS | MI | 48336 | 381360937 | RELIGIOUS | $7,000 | COMMUNITY SUPPORT | |
| ST MICHAEL'S SCHOOL | ||||||||
| 1315 1ST AVENUE | SOUTH SIOUX CITY | NE | 68776 | 470457873 | 501(C)3 | $10,000 | COMMUNITY SUPPORT | |
| IOWA STATE UNIVERSITY FOUNDATION | ||||||||
| 2505 UNIVERSITY BLVD | AMES | IA | 50010 | 421143702 | 501(C)3 | $5,460 | SUPPORT IOWA STATE UNIVERSITY EXTENSION AND OUTREACH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 24 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | Cash GrantCashGrantAmt |
|---|---|
| HOUSING, UTILITIES AND AUTO SUPPORT | $9,962 |
| FOOD, CLOTHING AND TRANSPORTATION ASSISTANCE | $3,347 |
| MEDICAL BILLS | $4,657 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | DONATIONS MADE BY MERCY HEALTH SERVICES - IOWA, CORP. TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (39 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JUDITH PERSICHILLI | ||||||||||||||
| TRINITY INT. PRES & CEO THR 11/13 | $0 | $1,311,163 | $0 | $1,102,307 | $0 | $1,654,631 | $0 | $18,975 | $0 | $6,481 | $0 | $4,093,557 | $0 | $0 |
| JAMES CODDINGTON MD | ||||||||||||||
| DIRECTOR AS OF 1/14;MMC-NI PHYSICIAN | $167,398 | $0 | $37,556 | $0 | $30,810 | $0 | $16,630 | $0 | $19,546 | $0 | $271,940 | $0 | $0 | $0 |
| RICHARD O'CONNELL | ||||||||||||||
| DIR. AS OF 1/14; EVP & PRES TH DIV | $0 | $731,422 | $0 | $769,386 | $0 | $172,766 | $0 | $111,806 | $0 | $33,679 | $0 | $1,819,059 | $0 | $0 |
| PAUL NEUMANN | ||||||||||||||
| SEC THR 12/13; TH CHIEF LEGAL CNSL | $0 | $511,279 | $0 | $626,797 | $0 | $117,475 | $0 | $74,894 | $0 | $28,132 | $0 | $1,358,577 | $0 | $0 |
| MARCIA SMITH | ||||||||||||||
| SECRETARY AS OF 1/14; ASSOCIATE CNSL | $0 | $218,796 | $0 | $0 | $0 | $1,106 | $0 | $13,078 | $0 | $18,562 | $0 | $251,542 | $0 | $0 |
| AGNES HAGERTY | ||||||||||||||
| ASST SEC THR 12/13; TH DEP GNL CNSL | $0 | $355,901 | $0 | $23,243 | $0 | $23,813 | $0 | $32,268 | $0 | $15,027 | $0 | $450,252 | $0 | $0 |
| RODNEY SCHLADER | ||||||||||||||
| TREAS AS OF 1/14; REGIONAL CFO | $0 | $276,450 | $0 | $66,685 | $0 | $1,439 | $0 | $28,291 | $0 | $21,801 | $0 | $394,666 | $0 | $0 |
| JENNIFER BARNETT | ||||||||||||||
| TREAS THR 12/13; TH CFO THR 4/14 | $0 | $631,567 | $0 | $425,195 | $0 | $162,607 | $0 | $18,975 | $0 | $11,720 | $0 | $1,250,064 | $0 | $0 |
| BENJAMIN CARTER | ||||||||||||||
| ASST TREAS THR 12/13; TH TREAS/CFO | $0 | $581,124 | $0 | $586,500 | $0 | $82,502 | $0 | $84,996 | $0 | $25,449 | $0 | $1,360,571 | $0 | $0 |
| RUSSELL KNIGHT | ||||||||||||||
| CEO DUBUQUE | $0 | $318,264 | $0 | $262,517 | $0 | $134,433 | $0 | $66,469 | $0 | $4,955 | $0 | $786,638 | $0 | $9,775 |
| ROBERT PEEBLES | ||||||||||||||
| CEO SIOUX CITY THROUGH 3/14 | $0 | $381,701 | $0 | $129,132 | $0 | $57,429 | $0 | $51,809 | $0 | $16,924 | $0 | $636,995 | $0 | $0 |
| PAUL MANTERNACH | ||||||||||||||
| SVP PHYS INTEGRATION MASON CITY | $0 | $337,165 | $0 | $153,898 | $0 | $1,144 | $0 | $12,892 | $0 | $19,075 | $0 | $524,174 | $0 | $0 |
| DANIEL VARNUM | ||||||||||||||
| CEO MASON CITY | $0 | $352,913 | $0 | $81,111 | $0 | $55,540 | $0 | $41,947 | $0 | $19,746 | $0 | $551,257 | $0 | $0 |
| JEROME PIERSON MD | ||||||||||||||
| CMO SIOUX CITY | $0 | $313,552 | $0 | $71,843 | $0 | $2,960 | $0 | $12,750 | $0 | $10,593 | $0 | $411,698 | $0 | $0 |
| TERESA MOCK | ||||||||||||||
| SVP MERCY CLINICS MASON CITY | $0 | $273,723 | $0 | $65,086 | $0 | $2,642 | $0 | $25,744 | $0 | $19,401 | $0 | $386,596 | $0 | $0 |
| DIANE FISCHELS | ||||||||||||||
| VP OPERATIONS MASON CITY | $0 | $271,229 | $0 | $63,239 | $0 | $1,369 | $0 | $30,824 | $0 | $8,754 | $0 | $375,415 | $0 | $0 |
| KIMBERLY CHAMBERLIN | ||||||||||||||
| CNO MASON CITY | $0 | $172,983 | $0 | $79,441 | $0 | $1,569 | $0 | $10,883 | $0 | $11,023 | $0 | $275,899 | $0 | $0 |
| KAY TAKES | ||||||||||||||
| VP PATIENT CARE DUBUQUE | $0 | $170,138 | $0 | $81,318 | $0 | $830 | $0 | $24,946 | $0 | $17,192 | $0 | $294,424 | $0 | $0 |
| LINDA KREI | ||||||||||||||
| VP HR AND ORG INTEGRITY SIOUX CITY | $0 | $199,290 | $0 | $45,450 | $0 | $1,757 | $0 | $26,358 | $0 | $4,100 | $0 | $276,955 | $0 | $0 |
| GARY GUETZKO | ||||||||||||||
| VP BUSINESS DEVELOPMENT DUBUQUE | $0 | $186,807 | $0 | $47,679 | $0 | $1,749 | $0 | $37,463 | $0 | $19,164 | $0 | $292,862 | $0 | $0 |
| ROBERT SHAFER | ||||||||||||||
| CFO DUBUQUE | $0 | $165,037 | $0 | $41,040 | $0 | $2,253 | $0 | $77,063 | $0 | $4,850 | $0 | $290,243 | $0 | $0 |
| BRIAN MONSMA | ||||||||||||||
| VP NETWORK DEVELOPMENT SIOUX CITY | $0 | $164,131 | $0 | $39,625 | $0 | $507 | $0 | $12,968 | $0 | $20,544 | $0 | $237,775 | $0 | $0 |
| TRACY LARSON | ||||||||||||||
| CNO SIOUX CITY | $0 | $160,523 | $0 | $38,848 | $0 | $329 | $0 | $10,443 | $0 | $20,738 | $0 | $230,881 | $0 | $0 |
| SUE MEADE | ||||||||||||||
| VP PROF & SUPP SVCS DUBUQUE | $0 | $132,537 | $0 | $33,805 | $0 | $619 | $0 | $9,655 | $0 | $16,805 | $0 | $193,421 | $0 | $0 |
| CARL J PLANK | ||||||||||||||
| PHYSICIAN, DERMATOLOGY (MC) | $536,127 | $0 | $24,295 | $0 | $367,453 | $0 | $28,116 | $0 | $19,565 | $0 | $975,556 | $0 | $0 | $0 |
| JAMES R BAER | ||||||||||||||
| PHYSICIAN, RADIATION ONCOLOGY (MC) | $595,968 | $0 | $0 | $0 | $43,776 | $0 | $12,750 | $0 | $37,632 | $0 | $690,126 | $0 | $0 | $0 |
| ARVIND PERATHUR | ||||||||||||||
| PHYSICIAN, INTERNAL MEDICINE (MC) | $459,039 | $0 | $120,529 | $0 | $37,364 | $0 | $12,750 | $0 | $27,836 | $0 | $657,518 | $0 | $0 | $0 |
| MARK HAGANMAN | ||||||||||||||
| PHYSICIAN, FAMILY MEDICINE (MC) | $395,725 | $0 | $185,227 | $0 | $34,591 | $0 | $26,693 | $0 | $30,897 | $0 | $673,133 | $0 | $0 | $0 |
| JAMES P KARKOS | ||||||||||||||
| PHYSICIAN, DERMATOLOGY (MC) | $389,111 | $0 | $89,005 | $0 | $110,621 | $0 | $24,743 | $0 | $30,950 | $0 | $644,430 | $0 | $0 | $0 |
| MARIANNE CUNNINGHAM | ||||||||||||||
| FORMER OFFICER | $0 | $167,604 | $0 | $0 | $0 | $826 | $0 | $10,136 | $0 | $18,843 | $0 | $197,409 | $0 | $0 |
| DANIEL HALE | ||||||||||||||
| FORMER OFFICER | $0 | $515,065 | $0 | $692,503 | $0 | $95,295 | $0 | $29,355 | $0 | $21,325 | $0 | $1,353,543 | $0 | $0 |
| MICHAEL SLUBOWSKI | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $231,799 | $0 | $0 | $0 | $0 | $0 | $231,799 | $0 | $231,799 |
| JOSEPH SWEDISH | ||||||||||||||
| FORMER OFFICER | $0 | $344,758 | $0 | $0 | $0 | $1,119,237 | $0 | $21,706 | $0 | $7,182 | $0 | $1,492,883 | $0 | $0 |
| JAMES BOSSCHER | ||||||||||||||
| FORMER OFFICER | $0 | $351,725 | $0 | $348,218 | $0 | $120,401 | $0 | $75,455 | $0 | $13,211 | $0 | $909,010 | $0 | $15,518 |
| KEDRICK ADKINS | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $504,488 | $0 | $873,685 | $0 | $430,416 | $0 | $1,730,702 | $0 | $8,534 | $0 | $3,547,825 | $0 | $45,090 |
| MARILYN KAPTAIN-DAHLEN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $85,475 | $0 | $45,083 | $0 | $178,211 | $0 | $121,809 | $0 | $12,209 | $0 | $442,787 | $0 | $0 |
| STEVEN EAVENSON | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $285,014 | $0 | $74,922 | $0 | $29,115 | $0 | $19,540 | $0 | $15,916 | $0 | $424,507 | $0 | $0 |
| KIM PRICE | ||||||||||||||
| FORMER KEY EMPLOYEE | $134,666 | $0 | $0 | $0 | $5,731 | $0 | $15,309 | $0 | $22,854 | $0 | $178,560 | $0 | $0 | $0 |
| LARRY WARREN | ||||||||||||||
| FORMER OFFICER | $0 | $1,635,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,635,500 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | MERCY HEALTH SERVICES - IOWA, CORP. IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. MERCY HEALTH SERVICES - IOWA, CORP. HOSPITAL CEOS ARE PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF MERCY HEALTH SERVICES - IOWA, CORP. CEOS: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2013. THESE AMOUNTS ARE INCLUDED IN COLUMN B(III): KEDRICK ADKINS - $ 310,298 MARILYN KAPTAIN-DAHLEN - $151,670 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERENCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/13: KEDRICK ADKINS - $1,347,759 ($814,924 PAID IN 2014 AND $532,835 TO BE PAID IN 2015) MARILYN KAPTAIN-DAHLEN - $88,782 PAID IN 2014 THE FOLLOWING ARE PARTICIPANTS IN THE TRINITY HEALTH CASH BALANCE RESTORATION AND RETENTION PLAN, A NONQUALIFIED PLAN, WHICH PROVIDES RETENTION BENEFITS PLUS RETIREMENT BENEFITS FOR CERTAIN ASSOCIATES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($255,000 FOR 2013). THE FOLLOWING ACCRUALS FOR 2013 FOR THIS PLAN ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $106,281 JAMES BOSSCHER - $50,952 BENJAMIN CARTER - $72,246 RUSSELL KNIGHT - $42,321 PAUL NEUMANN - $62,144 RICHARD O'CONNELL - $99,056 ROBERT PEEBLES - $39,059 DANIEL VARNUM - $29,197 PART I, LINE 4B: THE FOLLOWING ARE PARTICIPANTS IN A MERCY HEALTH SERVICES - IOWA CORP. NON-QUALIFIED ELECTIVE DEFERRED COMPENSATION PLAN. THE FOLLOWING DEFERRALS FOR 2013 FOR THIS PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JAMES R. BAER- $34,752 JAMES CODDINGTON, MD - $23,400 MARK HAGANMAN - $33,467 JAMES P. KARKOS- $107,106 ARVIND PERATHUR - $28,147 CARL J. PLANK- $43,072 THE FOLLOWING IS A PARTICIPANT IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING SERP ACCRUAL FOR 2013 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: KEDRICK ADKINS - $258,812 PART II: THE FOLLOWING INDIVIDUALS ARE VESTED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE FOLLOWING VESTED SERP AMOUNTS ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JENNIFER BARNETT - $139,649 JUDITH PERSICHILLI - $1,601,362 JOSEPH SWEDISH - $543,977 MICHAEL SLUBOWSKI - $231,799 COLUMN F OF SCHEDULE J INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. PART II, COLUMN B (II): THE FOLLOWING INDIVIDUALS RECEIVED AMOUNTS IN 2013 FROM A LONG-TERM INCENTIVE PLAN (LTIP). PARTICIPANTS IN THE LTIP (CEO'S AND CERTAIN TRINITY EXECUTIVES) WERE ELIGIBLE TO RECEIVE A PAYMENT UNDER THE PLAN ONLY IF CERTAIN CULTURE OF SAFETY SURVEY SCORE TARGETS WERE ACHIEVED AT THE END OF A THREE-YEAR PERIOD (FY11 THROUGH FY13). THE FOLLOWING LTIP AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II): KEDRICK ADKINS - $372,833 JAMES BOSSCHER - $160,406 BENJAMIN CARTER - $253,562 KIMBERLY CHAMBERLIN - $38,496 DANIEL HALE - $242,723 RUSSELL KNIGHT - $147,289 PAUL MANTERNACH - $74,577 PAUL NEUMANN - $237,224 RICHARD O'CONNELL - $294,870 KAY TAKES - $38,232 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (14 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| UNITED CLINICAL LABORATORIES (UCL) | |||
| R. SHAFER & K. TAKES, KEY EMPLOYEES, ARE ON UCL BD | $6,446,638 | PAYMENTS MADE BY MERCY HEALTH SERVICES - IOWA, CORP. TO UNITED CLINICAL LABORATORIES FOR LABORATORY SERVICES. | 0 |
| BARBARA SHAFER | |||
| FAMILY MEMBER OF ROBERT SHAFER, KEY EMPLOYEE | $65,516 | EMPLOYMENT ARRANGEMENT | 0 |
| NANCY ROLING | |||
| FAMILY MEMBER OF ROBERT SHAFER, KEY EMPLOYEE | $128,204 | EMPLOYMENT ARRANGEMENT | 0 |
| PREFERRED HEALTH CHOICES LLC (PHC) | |||
| RUSSELL KNIGHT, KEY EMPLOYEE, ALSO SERVES ON THE BOARD OF PHC | $14,040,342 | PAYMENTS MADE BY PREFERRED HEALTH CHOICES TO MERCY HEALTH SERVICES - IOWA, CORP. FOR MEDICAL SERVICES PROVIDED. | 0 |
| PREFERRED HEALTH CHOICES LLC (PHC) | |||
| RUSSELL KNIGHT, KEY EMPLOYEE, ALSO SERVES ON THE BOARD OF PHC | $15,108,470 | PAYMENTS MADE BY MERCY HEALTH SERVICES - IOWA, CORP. TO PREFERRED HEALTH CHOICES FOR REIMBURSEMENT OF THIRD PARTY ADMINISTRATOR PAYMENTS. | 0 |
| WELLMARK BLUE CROSS BLUE SHIELD OF IOWA AND SOUTH DAKOTA | |||
| MELANIE DREHER, BOARD MEMBER, ALSO SERVES ON THE BOARD OF WELLMARK BCBS | $103,080,195 | PAYMENTS MADE BY WELLMARK BCBS TO MERCY HEALTH SERVICES - IOWA, CORP FOR MEDICAL SERVICES PROVIDED. | 0 |
| (no name) | |||
| 0 | |||
| (no name) | |||
| 0 | |||
| (no name) | |||
| 0 | |||
| SIOUXLAND SURGERY CENTER | |||
| ROBERT PEEBLES, KEY EMPLOYEE, ALSO SERVES ON THE BOARD OF SIOUXLAND SURGERY | $8,051,400 | PARTNERSHIP DISTRIBUTION MADE BY SIOUXLAND SURGERY CENTER TO MERCY HEALTH SERVICES - IOWA, CORP. (MHS-IA IS A 31% PARTNER IN SIOUXLAND SURGERY CENTER) | 0 |
| HEALTH MANAGEMENT SERVICES LLC (HMS) | |||
| R. KNIGHT, R. SHAFER & G. GUETZKO, KEY EMPLOYEES, ARE ALSO HMS BD MEMBERS | $3,067,591 | PARTNERSHIP DISTRIBUTION MADE BY HEALTH MANAGEMENT SERVICES, LLC TO MHS-IA (MHS-IA IS A 50% PARTNER IN HEALTH MGMT SVCS) | 0 |
| HEALTH MANAGEMENT SERVICES LLC (HMS) | |||
| R. KNIGHT, R. SHAFER & G. GUETZKO, KEY EMPLOYEES, ARE ALSO HMS BD MEMBERS | $1,596,097 | PARTNERSHIP CAPITAL CONTRIBUTION MADE TO HEALTH MANAGEMENT SERVICES, LLC BY MHS-IA (MHS-IA IS A 50% PARTNER IN HEALTH MGMT SVCS) | 0 |
| MC AMBULATORY SURGERY CENTER LLC (MCASC) | |||
| DANIEL VARNUM, KEY EMPLOYEE, ALSO SERVES ON THE BOARD OF MCASC | $3,383,629 | PARTNERSHIP DISTRIBUTION MADE BY MCASC TO MHS-IA (MHS-IA IS A 51% PARTNER IN MCASC) | 0 |
| AVERY OUTDOOR | |||
| MILTON AVERY, BOARD OFFICER, IS AN OWNER OF AVERY OUTDOOR | $147,815 | PAYMENTS MADE FOR SIGNS AND BILLBOARDS | 0 |
Schedule M IRS990ScheduleM
Real Estate Commercial RealEstateCommercialGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $975,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | EXPERT OPINION | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | MISCELLANEOUS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,040 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | RODNEY SCHLADER, IOWA REGIONAL CFO, DANIEL VARNUM, MERCY MEDICAL CENTER - NORTH IOWA CEO, AND MARTI RODAMAKER, MERCY HEALTH SERVICES - IOWA BOARD DIRECTOR, HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 3 | MERCY HEALTH SERVICES - IOWA, CORP. (MHS-IA) HAS CONTRACTED WITH TATUM, LLC FOR THE PROVISION OF INTERIM CFO SERVICES. IN CALENDAR YEAR 2013 MHS-IA PAID $450,636 TO TATUM, LLC FOR STEPHEN GARY'S SERVICES AS INTERIM CFO AT ITS SIOUX CITY HOSPITAL . MHS-IA DOES NOT KNOW HOW MUCH STEPHEN GARY RECEIVED AS WAGES FROM TATUM, LLC IN CALENDAR 2013. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE CERTIFICATE OF INCORPORATION AND BYLAWS OF MERCY HEALTH SERVICES - IOWA WERE AMENDED TO CHANGE THE SOLE MEMBER OF THE CORPORATION. EFFECTIVE JULY 1, 2013 THE SOLE MEMBER IS TRINITY HEALTH CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | EFFECTIVE JULY 1, 2013 THE SOLE MEMBER OF MERCY HEALTH SERVICES - IOWA, CORP. IS TRINITY HEALTH CORPORATION. SEE LINE 7 FOR ADDITIONAL INFORMATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | EFFECTIVE JULY 1, 2013 TRINITY HEALTH CORPORATION IS THE SOLE MEMBER OF MERCY HEALTH SERVICES - IOWA, CORP. TRINITY HEALTH CORPORATION HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF MERCY HEALTH SERVICES - IOWA, CORP. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS SOLE MEMBER, TRINITY HEALTH CORPORATION MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. TRINITY HEALTH CORPORATION MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, A MATERIAL CHANGE IN MISSION, AND MODIFICATIONS TO GOVERNING DOCUMENTS. |
| FORM 990, PART VI, SECTION B, LINE 11 | PRIOR TO FILING, THE FORM 990 FOR MERCY HEALTH SERVICES - IOWA, CORP. IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS ARE REVIEWED BY THE MHS-IA BOARD, WHICH IS THE IOWA REGIONAL BOARD OF THE TRINITY HEALTH SYSTEM. THE MHS-IA BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MERCY HEALTH SERVICES - IOWA, CORP. HAS ADOPTED A CONFLICT OF INTEREST POLICY WHICH CONTAINS THE ELEMENTS IN THE MODEL CONFLICT OF INTEREST POLICY ISSUED BY THE IRS. IT APPLIES TO ALL "INTERESTED PERSONS" OF MERCY HEALTH SERVICES - IOWA, CORP., WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS AND EXECUTIVES, AND MEMBERS OF COMMITTEES WITH BOARD DESIGNATED POWERS. INTERESTED PERSONS ARE REQUIRED TO ACT AT ALL TIMES IN A MANNER CONSISTENT WITH MERCY HEALTH SERVICES - IOWA, CORP.'S CHARITABLE PURPOSE AND SERVICE TO THE COMMUNITY AND TO AVOID CONFLICTS OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO MERCY HEALTH SERVICES - IOWA, CORP. OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF MERCY HEALTH SERVICES - IOWA, CORP. IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF TRANSACTIONS WITH INTERESTED PERSONS, INCLUDING DETERMINING THAT SUCH TRANSACTIONS ARE FAIR AND REASONABLE TO MERCY HEALTH SERVICES - IOWA, CORP. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE REVIEWED WITH THE BOARD OF DIRECTORS OF MERCY HEALTH SERVICES - IOWA, CORP. ON A YEARLY BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR MERCY HEALTH SERVICES - IOWA'S HOSPITAL CEO'S, OFFICERS AND KEY MANAGEMENT OFFICIALS ARE ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF CERTAIN OFFICERS AND KEY MANAGEMENT OFFICIALS OF MERCY HEALTH SERVICES - IOWA, CORP. ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTHCARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | MERCY HEALTH SERVICES - IOWA, CORP. IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, MERCY HEALTH SERVICES - IOWA, CORP. INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. MERCY HEALTH SERVICES - IOWA, CORP'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, SECTION A, LINE 1: | SR. SUZANNE BRENNAN, CSC, IS A MEMBER OF THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS. HAVING TAKEN A VOW OF POVERTY, SR. SUZANNE BRENNAN DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO MERCY HEALTH SERVICES - IOWA, CORP. INSTEAD, A TOTAL OF $25,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE CONGREGATION OF THE SISTERS OF THE HOLY CROSS FOR SR. SUZANNE BRENNAN'S SERVICES AS A DIRECTOR FOR TRINITY HEALTH CORPORATION, MERCY HEALTH SERVICES - IOWA, CORP. AND TRINITY HEALTH - MICHIGAN. SR. BARBARA WHEELEY, RSM, IS A MEMBER OF THE RELIGOUS SISTERS OF MERCY. HAVING TAKEN A VOW OF POVERTY, SR. BARBARA WHEELEY DID NOT RECEIVE COMPENSATION FOR THE SERVICES SHE PROVIDED TO MERCY HEALTH SERVICES - IOWA, CORP. INSTEAD, A TOTAL OF $21,000 WAS PAID BY TRINITY HEALTH CORPORATION DIRECTLY TO THE RELIGOUS SISTERS OF MERCY FOR SR. BARBARA WHEELEY'S SERVICES AS VICE CHAIR FOR MERCY HEALTH SERVICES - IOWA CORP., TRINITY HEALTH - MICHIGAN AND TRINITY HEALTH CORPORATION. |
| FORM 990, PART XI, LINE 9: | NET EQUITY TRANSFERS TO AFFILIATES -6,174,369. OTHER TRANSACTIONS 13,028,352. |
| FORM 990, PART XII, LINE 2: | MERCY HEALTH SERVICES -IOWA, CORP.'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY14 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. |
| FORM 990, PAGE 1, DOING BUSINESS AS NAMES: | DUNES MEDICAL LABORATORIES,FOREST PARK PHARMACY, HEALTHWORKS, MARIAN HEALTH CENTER, MERCY FAMILY PHARMACY, MERCY HEALTH CENTER-DUBUQUE (ST. JOSEPH'S), MERCY HEALTH CENTER-DYERSVILLE (ST. MARY'S), MERCY HOME CARE-NORTH IOWA, MERCY HOME HEALTHCARE DUBUQUE, MERCY MEDICAL CENTER-DUBUQUE, MERCY MEDICAL CENTER-DYERSVILLE, MERCY MEDICAL CENTER-NEW HAMPTON, MERCY MEDICAL CENTER-NORTH IOWA, MERCY MEDICAL CENTER-SIOUX CITY, NORTH IOWA MERCY CLINICS, NORTH IOWA MERCY HEALTH CENTER, NORTH IOWA MERCY HOME HEALTHCARE, SHEFFIELD PHARMACY, SIOUXLAND PATHOLOGY GROUP-SMHC, SIOUXLAND RADIOLOGY-SMHC, ST. JOSEPH COMMUNITY HOSPITAL |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY CARE CONNECTIONS LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 4TH STREET SW | AddressLine1 |
| City | MASON CITY | City |
| State | IA | State |
| ZIP Code | 50401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352473948 | EIN |
| Primary Activities | ACCOUNTABLE CARE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MERCY HEALTH SERVICES - IOWA CORP | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (239 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE HEALTHSAINT MARY'S MEDICAL GROUP | |||||||||||
| 245 STATE ST SE | GRAND RAPIDS | MI | 49503 | 272491974 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| ALLEGANY FRANCISCAN MINISTRIES INC | |||||||||||
| 33920 US HIGHWAY 19 NORTH SUITE 269 | PALM HARBOR | FL | 34684 | 581492325 | MANAGEMENT & SUPPORT SERVICES | FL | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | Yes (1) | |
| AMICARE HOSPICE SERVICES INC | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382949053 | PROVIDE HOSPICE SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| AUXILIARY OF HOLY ROSARY HOSPITAL | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 943059469 | SUPPORTS SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | LINE 9 | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | Yes (1) | |
| BAUM HARMON MERCY HOSPITAL | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 421500277 | ACUTE/AMBULATORY HEALTHCARE SERVICES | IA | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| BAUM HARMON MERCY HOSPITAL & CLINICS FOUNDATION | |||||||||||
| 255 NORTH WELCH AVENUE | PRIMGHAR | IA | 51245 | 262973307 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | LINE 11A, I | BAUM HARMON MERCY HOSPITAL | Yes (1) | |
| BEECHWOOD INC | |||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 141651563 | REAL ESTATE HOLDING | NY | 501(C)(2) | N/A | LTC (EDDY) INC | Yes (1) | |
| BEVERWYCK INC | |||||||||||
| 40 AUTUMN DRIVE | SLINGERLANDS | NY | 12159 | 141717028 | INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| BRIGHTSIDE INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042182395 | BEHAVIORAL CARE | MA | 501(C)(3) | LINE 9 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| CAPITAL REGION GERIATRIC CENTER INC | |||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141701597 | NURSING HOME | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| CATHERINE MCAULEY HEALTH SERVICES CORP | |||||||||||
| PO BOX 995 | ANN ARBOR | MI | 48106 | 382507173 | FURTHER TRINITY HEALTH ACTIVITIES, ORGANIZE AND DEVELOP MEDICAL SERVICES | MI | 501(C)(3) | LINE 11B, II | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| CATHOLIC HEALTH EAST | |||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 232929748 | MANAGEMENT SERVICES | PA | 501(C)(3) | LINE 11C, III-FI | CHE TRINITY INC | Yes (1) | |
| CHE TRINITY INC | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 900931907 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11B, II | 0 | N/A | |
| COLUMBUS ACQUISITION CORP | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616342 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 9 | SAINT MICHAELS MEDICAL CENTER | Yes (1) | |
| COMMUNITY HEALTH PARTNERS OF SOUTH BEND | |||||||||||
| PO BOX 3998 | SOUTH BEND | IN | 46619 | 263051440 | HEALTHCARE SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | |
| CONTINUING CARE MANAGEMENT SERVICES NETWORK | |||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 352336834 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| CRANBROOK HOSPICE CARE | |||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320699 | PROVIDE HOSPICE HEALTH SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| DILEY RIDGE MEDICAL CENTER | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 342032340 | HOSPITAL CAMPUS IN FAIRFIELD COUNTY OHIO | OH | 501(C)(3) | LINE 3 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| DUBUQUE MERCY HEALTH FOUNDATION INC | |||||||||||
| 250 MERCY DRIVE | DUBUQUE | IA | 52001 | 262227941 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| DYERSVILLE HEALTH FOUNDATION INC | |||||||||||
| 1111 3RD STREET SW | DYERSVILLE | IA | 52040 | 205383271 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| EAST NORRITON PHYSICIAN SERVICES | |||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232515999 | PHYSICIAN SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| EDDY LICENSED HOME CARE AGENCY | |||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141818568 | HOME HEALTH | NY | 501(C)(3) | LINE 3 | LTC(EDDY) INC | Yes (1) | |
| EMPIRE HOME INFUSION SERVICES INC | |||||||||||
| 10 BLACKSMITH DRIVE | MALTA | NY | 12020 | 141795732 | HOME CARE | NY | 501(C)(3) | LINE 9 | HOME AIDE SERVICE OF EASTERN NEW YORK INC | Yes (1) | |
| FARREN CARE CENTER INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 042501711 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| FRANCISCAN ELDERCARE CORPORATION | |||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 223008680 | ELDERCARE | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | |
| GLEN EDDY INC | |||||||||||
| ONE GLEN EDDY DRIVE | NISKAYUNA | NY | 12309 | 141794150 | INDEPENDENT/ASSISTED LIVING COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| GLOBAL HEALTH MINISTRY | |||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 233068656 | HEALTH CARE | PA | 501(C)(3) | LINE 7 | CATHOLIC HEALTH EAST | Yes (1) | |
| GOOD SAMARITAN HOSPITAL INC | |||||||||||
| 5401 LAKE OCONEE PARKWAY | GREENSBORO | GA | 30642 | 261720984 | HOSPITAL | GA | 501(C)(3) | LINE 3 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION | |||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363332852 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IL | 501(C)(3) | LINE 9 | GOTTLIEB MEMORIAL HOSPITAL | Yes (1) | |
| GOTTLIEB MEMORIAL FOUNDATION | |||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 743260011 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IL | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| GOTTLIEB MEMORIAL HOSPITAL | |||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 362379649 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | |
| GRAND RAPIDS MEDICAL EDUCATION PARTNERS INC | |||||||||||
| 1000 MONROE AVENUE NW | GRAND RAPIDS | MI | 49503 | 237270669 | MEDICAL EDUCATION TRAINING PROGRAMS | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| HACKLEY HOSPITAL | |||||||||||
| 1700 CLINTON ST PO BOX 3302 | MUSKEGON | MI | 49443 | 381358196 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | MERCY HEALTH PARTNERS | Yes (1) | |
| HACKLEY HOSPITAL SELF INSURANCE PROFESSIONAL LIABILITY TRUST | |||||||||||
| PO BOX 3302 | MUSKEGON | MI | 49443 | 382299878 | SELF INSURANCE FOR GENERAL AND MALPRACTICE LIABILITY | MI | 501(C)(3) | LINE 11C, III-FI | MERCY HEALTH PARTNERS | Yes (1) | |
| HACKLEY LIFE COUNSELING | |||||||||||
| 1352 TERRACE ST | MUSKEGON | MI | 49442 | 381386362 | COUNSELING, EDUCATION, AND SUPPORT | MI | 501(C)(3) | LINE 9 | MERCY HEALTH PARTNERS | Yes (1) | |
| HAWTHORNE RIDGE INC | |||||||||||
| 30 COMMUNITY WAY | EAST GREENBUSH | NY | 12061 | 800102840 | INDEPENDENT/ASSISTED LIVING RETIREMENT COMMUNITY | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| HERITAGE HOUSE NURSING CENTER INC | |||||||||||
| 2920 TIBBITS AVE | TROY | NY | 12180 | 141725101 | NURSING HOME | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| HOLY CROSS CARENET INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 521945054 | LONG-TERM CARE AND REHABILITATION FOR THE ELDERLY | MD | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | |
| HOLY CROSS HEALTH FOUNDATION INC | |||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 208428450 | CHARITABLE FUNDRAISING | MD | 501(C)(3) | LINE 11A, I | HOLY CROSS HEALTH INC | Yes (1) | |
| HOLY CROSS HEALTH INC | |||||||||||
| 1500 FOREST GLEN RD | SILVER SPRING | MD | 20910 | 520738041 | HEALTHCARE SERVICES | MD | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | |
| HOLY CROSS HOSPITAL INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791028 | HOSPITAL-HEALTHCARE PROVIDER | FL | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| HOLY CROSS LONG TERM CARE INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 650787320 | MEDICAL SERVICES | FL | 501(C)(3) | LINE 3 | HOLY CROSS HOSPITAL INC | Yes (1) | |
| HOLY CROSS MEDICAL CENTER | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 951985442 | HEALTHCARE SERVICES (FORMERLY) | CA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | |
| HOLY CROSS MEDICAL PROPERTIES INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 650666283 | MEDICAL BUILDING REAL ESTATE MANAGEMENT | FL | 501(C)(2) | N/A | HOLY CROSS HOSPITAL INC | Yes (1) | |
| HOME AIDE SERVICE OF EASTERN NEW YORK | |||||||||||
| 433 RIVER ST SUITE 3000 | TROY | NY | 12180 | 141514867 | HOME CARE | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| HOSPICE OF NORTH IOWA | |||||||||||
| 232 SECOND STREET SE | MASON CITY | IA | 50401 | 421173708 | HOSPICE HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| HOSPICE OF SIOUXLAND | |||||||||||
| 4300 HAMILTON BLVD | SIOUX CITY | IA | 51104 | 383320710 | HOSPICE SERVICES | IA | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| HOSPICE OF WASHTENAW II | |||||||||||
| 806 AIRPORT BLVD | ANN ARBOR | MI | 48108 | 383320707 | HOSPICE HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| IHA HEALTH SERVICES CORPORATION | |||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383316559 | PROVIDES OFFICE-BASED MEDICAL CARE | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| INTRACOASTAL HEALTH SYSTEMS INC | |||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 650556413 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | Yes (1) | |
| JAMES A EDDY MEMORIAL GERIATRIC CENTER INC | |||||||||||
| 2256 BURDETT AVE | TROY | NY | 12180 | 222570478 | NURSING HOME | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| LAKESHORE COMMUNITY HOSPITAL INC | |||||||||||
| 72 S STATE STREET | SHELBY | MI | 49455 | 382549295 | ACUTE HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | MERCY HEALTH PARTNERS | Yes (1) | |
| LANGHORNE MRI INC | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232519529 | INACTIVE ENTITY | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | |
| LANGHORNE PHYSICIAN SERVICES INC | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232571699 | PHYSICIAN SERVICES | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | |
| LIFE AT LOURDES INC | |||||||||||
| 2475 MCCLELLAN AVENUE | PENNSAUKEN | NJ | 08109 | 261854750 | ELDERLY CARE | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | |
| LIFE AT ST FRANCIS HEALTHCARE INC | |||||||||||
| 7TH CLAYTON STREETS | WILMINGTON | DE | 19805 | 452569214 | ELDERLY CARE | DE | 501(C)(3) | LINE 9 | ST FRANCIS HOSPITAL | Yes (1) | |
| LIFE ST FRANCIS CORPORATION | |||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 222797282 | HEALTH SERVICES | NJ | 501(C)(3) | LINE 11A, I | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | |
| LIFE ST JOSEPH OF THE PINES INC | |||||||||||
| 100 GOSSMAN DRIVE SUITE B | SOUTHERN PINES | NC | 28387 | 272159847 | HEALTHCARE SERVICES | NC | 501(C)(3) | LINE 3 | ST JOSEPH'S OF THE PINES INC | Yes (1) | |
| LIFE ST MARY | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 262976184 | ELDERLY CARE | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | |
| LOURDES ANCILLARY SERVICES | |||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568525 | SUPPORTING ORGANIZATION | NJ | 501(C)(3) | LINE 11B, II | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | |
| LOURDES CARDIOLOGY SERVICES PC | |||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 274357794 | CARDIOLOGY SERVICES | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | |
| LOURDES DIALYSIS AT INNOVA INC | |||||||||||
| 3716 CHURCH ROAD | MT LAUREL | NJ | 08054 | 263237625 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | |
| LOURDES MEDICAL CENTER OF BURLINGTON COUNTY | |||||||||||
| 218 SUNSET ROAD | WILLINGBORO | NJ | 08046 | 223612265 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | |
| LOYOLA UNIVERSITY HEALTH SYSTEM | |||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 363342448 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 11B, II | TRINITY HEALTH CORPORATION | Yes (1) | |
| LOYOLA UNIVERSITY MEDICAL CENTER | |||||||||||
| 2160 SOUTH FIRST AVENUE | MAYWOOD | IL | 60153 | 364015560 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | LOYOLA UNIVERSITY HEALTH SYSTEM | Yes (1) | |
| LTC (EDDY) INC | |||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 222564710 | ELDERLY HEALTH/HOUSING SUPPORTING ORG | NY | 501(C)(3) | LINE 11B, II | NORTHEAST HEALTH INC | Yes (1) | |
| MARIAN COMMUNITY HOSPITAL | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 240711230 | HOSPITAL | PA | 501(C)(3) | LINE 9 | MAXIS HEALTH SYSTEM | Yes (1) | |
| MARIAN COMMUNITY HOSPITAL AUXILIARY | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 251874733 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MAXIS FOUNDATION | Yes (1) | |
| MARIAN HOME HEALTHCARE | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 383320705 | PROVIDE HOME HEALTH CARE SERVICES | IA | 501(C)(3) | LINE 11A, I | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| MARYCREST HEIGHTS | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 270291722 | PROVIDES HOUSING FOR ELDERLY INDIVIDUALS | MI | 501(C)(3) | LINE 11A, I | TRINITY CONTINUING CARE SERVICES | Yes (1) | |
| MAXIS FOUNDATION | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 232330090 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MAXIS HEALTH SYSTEM | Yes (1) | |
| MAXIS HEALTH SYSTEM | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 911940902 | HEALTH CARE SYSTEM | PA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| MAXIS MEDICAL SERVICES | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 232577185 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 9 | MAXIS HEALTH SYSTEM | Yes (1) | |
| MCAULEY CENTER INC | |||||||||||
| 275 STEELE ROAD | WEST HARTFORD | CT | 06117 | 061058086 | INDEPENDENT LIVING | CT | 501(C)(3) | LINE 9 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| MCAULEY CLINIC CORPORATION | |||||||||||
| PO BOX 992 | ANN ARBOR | MI | 48106 | 382561013 | HEALTHCARE SERVICES (FORMERLY) | MI | 501(C)(3) | LINE 3 | CATHERINE MCAULEY HEALTH SERVICES CORP | Yes (1) | |
| MCAULEY MINISTRIES | |||||||||||
| 3333 FIFTH AVENUE | PITTSBURGH | PA | 15213 | 943436142 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11A, I | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | |
| MEMORIAL HOSPITAL ALBANY NY | |||||||||||
| 600 NORTHERN BLVD | ALBANY | NY | 12204 | 141338457 | GENERAL HOSPITAL | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | |
| MERCY AMICARE HOME HEALTHCARE OAKLAND | |||||||||||
| 1111 W LONG LAKE RD STE 102 | TROY | MI | 48098 | 383320698 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY AMICARE HOME HEALTHCARE PORT HURON | |||||||||||
| 505 HURON AVENUE | PORT HURON | MI | 48060 | 383320701 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY CARE FOUNDATION | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581448522 | FUNDRAISING | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| MERCY CATHOLIC MEDICAL CENTER OF SOUTHEASTERN PENNSYLVANIA | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 231352191 | ACUTE CARE HOSPITAL | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY COMMUNITY HEALTH INC | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061492707 | MANAGEMENT & SUPPORT SERVICES | CT | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY COMMUNITY HOMECARE SERVICES | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061488137 | IN HOME HEALTH CARE | CT | 501(C)(3) | LINE 9 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| MERCY FAMILY SUPPORT | |||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325059 | HOME HEALTH | PA | 501(C)(3) | LINE 9 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY FOUNDATION INC | |||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227350 | SUPPORTS THE SERVICES OF RELATED HEALTH CARE SYSTEM | IL | 501(C)(3) | LINE 11A, I | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | |
| MERCY GENERAL HEALTH PARTNERS AMICARE HOMECARE | |||||||||||
| 684 HARVEY STREET | MUSKEGON | MI | 49442 | 383321856 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY HEALTH FOUNDATION OF SOUTHEASTERN PENNSYLVANIA | |||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232829864 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY HEALTH NETWORK | |||||||||||
| 1111 6TH AVENUE | DES MOINES | IA | 50314 | 421478417 | HEALTHCARE MANAGEMENT | DE | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| MERCY HEALTH PARTNERS | |||||||||||
| 1415 LEAHY STREET | MUSKEGON | MI | 49442 | 382589966 | HEALTHCARE SYSTEM SUPPORT | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MERCY HEALTH PLAN | |||||||||||
| C/O ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 222483605 | HEALTH PLANS | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY HEALTH SERVICES - IOWA CORP | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 311373080 | HEALTHCARE SERVICES | DE | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | 0 | |
| MERCY HEALTH SYSTEM OF CHICAGO | |||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363163327 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IL | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | |
| MERCY HEALTH SYSTEM OF CHICAGO LIABILITY SELF INSURANCE TRUST | |||||||||||
| BK OF AMERICA 231 S LASALLE | CHICAGO | IL | 60697 | 912092113 | SELF INSURANCE FOR PROFESSIONAL AND COMPREHENSIVE LIABILITY | IL | 501(C)(3) | LINE 11C, III-FI | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | |
| MERCY HEALTH SYSTEM OF MAINE | |||||||||||
| 144 STATE STREET | PORTLAND | ME | 04101 | 010484074 | MANAGEMENT & SUPPORT SERVICES | ME | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232212638 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY HEALTHCARE CENTER | |||||||||||
| 114 WAWBEEK AVENUE | TUPPER LAKE | NY | 12986 | 150532211 | IN DISSOLUTION | NY | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY HEALTHCARE FOUNDATION-CLINTON | |||||||||||
| 1410 N 4TH ST | CLINTON | IA | 52732 | 421316126 | FUNDRAISING AND FINANCIAL ASSISTANCE FOR HOSPITAL CHARITABLE SERVICES | IA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| MERCY HOME HEALTH | |||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 231352099 | HOME HEALTH | PA | 501(C)(3) | LINE 9 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY HOME HEALTH SERVICES | |||||||||||
| 1001 BALTIMORE PIKE SUITE 310 | SPRINGFIELD | PA | 19064 | 232325058 | HOME HEALTH | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY HOSPITAL | |||||||||||
| 144 STATE STREET | PORTLAND | ME | 04101 | 010211534 | HOSPITAL | ME | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF MAINE | Yes (1) | |
| MERCY HOSPITAL AND MEDICAL CENTER | |||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 362170152 | HEALTHCARE SERVICES | IL | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF CHICAGO | Yes (1) | |
| MERCY HOSPITAL CADILLAC FOUNDATION | |||||||||||
| 400 HOBART | CADILLAC | MI | 49601 | 203357131 | SUPPORT THE SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MERCY HOSPITAL GIFT SHOP | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 381630480 | VOLUNTEER SERVICE AUXILIARY | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MERCY HOSPITAL INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398280 | ACUTE CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| MERCY HOSPITAL INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 590791034 | HOSPITAL | FL | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY JEANNETTE HOSPITAL | |||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 251310602 | INACTIVE ENTITY | PA | 501(C)(3) | LINE 9 | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | |
| MERCY LIFE CENTER CORPORATION | |||||||||||
| 1200 REEDSDALE STREET | PITTSBURGH | PA | 15233 | 251604115 | COMMUNITY TREATMENT | PA | 501(C)(3) | LINE 9 | PITTSBURGH MERCY HEALTH SYSTEM | Yes (1) | |
| MERCY LIFE OF ALABAMA | |||||||||||
| PO BOX 1090 101 VILLA DRIVE | DAPHNE | AL | 36526 | 273163002 | HOSPITAL | AL | 501(C)(3) | LINE 3 | MERCY MEDICAL CORPORATION | Yes (1) | |
| MERCY LIFE INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 453086711 | ACUTE CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| MERCY MANAGEMENT OF SOUTHEASTERN PENNSYLVANIA | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232627944 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY MEDICAL CENTER - CLINTON INC | |||||||||||
| 1410 NORTH 4TH ST | CLINTON | IA | 52732 | 421336618 | TO PROVIDE QUALITY HEALTH CARE | DE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| MERCY MEDICAL CENTER - SIOUX CITY FOUNDATION | |||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51102 | 141880022 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | LINE 7 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | |||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 421229151 | SUPPORT THE SERVICES OF RELATED HOSPITAL | IA | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| MERCY MEDICAL CORPORATION | |||||||||||
| PO BOX 1090 101 VILLA DRIVE | DAPHNE | AL | 36526 | 636002215 | HOSPITAL | AL | 501(C)(3) | LINE 9 | CATHOLIC HEALTH EAST | Yes (1) | |
| MERCY MEDICAL DEVELOPMENT INC | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 592789194 | OUTPATIENT SERVICES | FL | 501(C)(3) | LINE 9 | MERCY HOSPITAL INC | Yes (1) | |
| MERCY MISSION SERVICES INC | |||||||||||
| 3661 SOUTH MIAMI AVENUE | MIAMI | FL | 33133 | 650435764 | HEALTH CARE | FL | 501(C)(3) | LINE 3 | MERCY HOSPITAL INC | Yes (1) | |
| MERCY NORTH HOMECARE AND HOSPICE | |||||||||||
| 7985 MACKINAW TRAIL | CADILLAC | MI | 49601 | 383313897 | HOME HEALTH AND HOSPICE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MERCY ONCOLOGY SERVICES INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454884805 | ONCOLOGY MEDICAL SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| MERCY OUTPATIENT SERVICES INC DBA SISTER EMMANUEL HOSPITAL | |||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FT LAUDERDALE | FL | 33308 | 510461511 | HOSPITAL | FL | 501(C)(3) | LINE 9 | MERCY HOSPITAL INC | Yes (1) | |
| MERCY SENIOR CARE INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581366508 | COMMUNITY OUTREACH | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| MERCY SERVICES CORPORATION | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061453323 | SUPPORT SERVICES | CT | 501(C)(3) | LINE 1 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| MERCY SERVICES DOWNTOWN INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 272046353 | REAL ESTATE HOLDING COMPANY | GA | 501(C)(3) | LINE 11B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| MERCY SERVICES FOR AGING NON-PROFIT HOUSING CORPORATION | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382719605 | PROVIDES LONG-TERM CARE FOR THE ELDERLY | MI | 501(C)(3) | LINE 11B, II | TRINITY CONTINUING CARE SERVICES | Yes (1) | |
| MERCY SPECIALIST PHYSICIANS INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 264033168 | NEUROSURGERY MEDICAL SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| MERCY SUBURBAN HOSPITAL | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 231396763 | ACUTE CARE HOSPITAL | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| MERCY UIHLEIN HEALTH CORPORATION | |||||||||||
| 185 OLD MILITARY ROAD | LAKE PLACID | NY | 12946 | 161535133 | MGT. & SUPPORT SERVICES | NY | 501(C)(3) | LINE 11B, II | MERCY HEALTHCARE CENTER | Yes (1) | |
| MERCYKNOLL INC | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 060757380 | SKILLED NURSING | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| MIDWEST MEDFLIGHT | |||||||||||
| 1300 VICTORS WAY | ANN ARBOR | MI | 48108 | 382684671 | AEROMEDICAL TRANSPORT | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MISSION HEALTH CORPORATION | |||||||||||
| 37595 SEVEN MILE ROAD | LIVONIA | MI | 48152 | 383181557 | FACILITY USED FOR AMBULATORY CARE | DE | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| MOUNT CARMEL COLLEGE OF NURSING | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311308555 | COLLEGE OF NURSING | OH | 501(C)(3) | LINE 2 | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| MOUNT CARMEL HEALTH INSURANCE COMPANY | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 251912781 | HEALTH INSURANCE | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| MOUNT CARMEL HEALTH PLAN INC | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311471229 | MEDICARE HMO FOR SENIORS | OH | 501(C)(4) | N/A | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| MOUNT CARMEL HEALTH SYSTEM | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311439334 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | OH | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | |
| MOUNT CARMEL HEALTH SYSTEM FOUNDATION | |||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311113966 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OH | 501(C)(3) | LINE 11A, I | MOUNT CARMEL HEALTH SYSTEM | Yes (1) | |
| MOUNT CARMEL HOME CARE LLC | |||||||||||
| 1144 DUBLIN ROAD SUITE B | COLUMBUS | OH | 43215 | 262729300 | PROVIDE HOME HEALTH CARE SERVICES | OH | 501(C)(3) | LINE 9 | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| MRI MOBILE SERVICES OF WEST MICHIGAN | |||||||||||
| 1820 - 44TH STREET | KENTWOOD | MI | 49508 | 383073745 | OPERATE MAGNETIC IMAGING RESONANCE (FORMERLY) | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| MUSKEGON COMMUNITY HEALTH PROJECT | |||||||||||
| 565 W WESTERN AVENUE | MUSKEGON | MI | 49440 | 911932918 | FACILITATE AND COORDINATE HEALTHCARE AND RELATED SERVICES | MI | 501(C)(3) | LINE 7 | MERCY HEALTH PARTNERS | Yes (1) | |
| NAZARETH HEALTH CARE FOUNDATION | |||||||||||
| 2701 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232300951 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| NAZARETH HOSPITAL | |||||||||||
| 2601 HOLME AVENUE | PHILADELPHIA | PA | 19152 | 232794121 | ACUTE CARE HOSPITAL | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| NAZARETH PHYSICIAN SERVICES INC | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 203261266 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| NE PHYSICIAN SERVICES | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232497355 | PHYSICIAN PRACTICES | PA | 501(C)(3) | LINE 9 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| NORTHEAST HEALTH INC | |||||||||||
| 2212 BURDETT AVE | TROY | NY | 12180 | 042450756 | SUPPORTING ORGANIZATION | NY | 501(C)(3) | LINE 11B, II | ST PETER'S HEALTH PARTNERS | Yes (1) | |
| OAKLAND MERCY HOSPITAL | |||||||||||
| 601 EAST 2ND STREET | OAKLAND | NE | 68045 | 208072234 | HEALTHCARE SERVICES | NE | 501(C)(3) | LINE 3 | MERCY HEALTH SERVICES-IOWA CORP | Yes (1) | |
| OAKLAND MERCY HOSPITAL FOUNDATION | |||||||||||
| 601 E 2ND STREET | OAKLAND | NE | 68045 | 311678345 | SUPPORTS SERVICES OF RELATED HOSPITAL | NE | 501(C)(3) | LINE 11C, III-FI | 0 | N/A | |
| OSUMOUNT CARMEL HEALTH ALLIANCE | |||||||||||
| 793 WEST STATE STREET | COLUMBUS | OH | 43222 | 311654603 | COOPERATIVE HEALTH CARE DELIVERY SYSTEM | OH | 501(C)(3) | LINE 11A, I | 0 | N/A | |
| OUR LADY OF LOURDES HEALTH CARE SERVICES | |||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222568528 | MANAGEMENT & SUPPORT SERVICES | NJ | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | Yes (1) | |
| OUR LADY OF LOURDES HEALTH FOUNDATION INC | |||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 222351960 | FOUNDATION | NJ | 501(C)(3) | LINE 7 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | |
| OUR LADY OF LOURDES MEDICAL CENTER | |||||||||||
| 1600 HADDON AVENUE | CAMDEN | NJ | 08103 | 210635001 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | OUR LADY OF LOURDES HEALTH CARE SERVICES | Yes (1) | |
| OUR LADY OF MERCY LIFE CENTER | |||||||||||
| 2 MERCYCARE LANE | GUILDERLAND | NY | 12084 | 141743506 | NURSING HOME FACILITY | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| PIONEER VALLEY CARDIOLOGY ASSOCIATES INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 454208896 | CARDIOLOGY SERVICES | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| PITTSBURGH MERCY HEALTH SYSTEM | |||||||||||
| 3333 5TH AVENUE | PITTSBURGH | PA | 15213 | 251464211 | MANAGEMENT & SUPPORT SERVICES | PA | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | Yes (1) | |
| PORT HURON MERCY FAMILY CARE INC | |||||||||||
| 2601 ELECTRIC AVE | PORT HURON | MI | 48060 | 201855647 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| PROFESSIONAL MED TEAM | |||||||||||
| 965 FORK STREET | MUSKEGON | MI | 49442 | 382638284 | MEDICAL CARE, TRANSPORTATION AND EDUCATION | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| PROFESSIONAL OFFICE CORPORATION | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 942839324 | HEALTHCARE SERVICES | CA | 501(C)(3) | LINE 11A, I | SAINT AGNES MEDICAL CENTER | Yes (1) | |
| SAINT AGNES MEDICAL CENTER | |||||||||||
| 1303 EAST HERNDON AVE | FRESNO | CA | 93720 | 941437713 | HEALTHCARE SERVICES | CA | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | |
| SAINT ALPHONSUS BUILDING COMPANY INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820401011 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (1) | |
| SAINT ALPHONSUS DIVERSIFIED CARE INC | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 943028978 | SUPPORTS SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC | Yes (1) | |
| SAINT ALPHONSUS FOUNDATION-BAKER CITY INC | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 943164869 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY | Yes (1) | |
| SAINT ALPHONSUS FOUNDATION-ONTARIO INC | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 202683560 | SUPPORT THE SERVICES OF RELATED HOSPITAL | OR | 501(C)(3) | LINE 11A, I | SAINT ALPHONSUS MEDICAL CENTER-ONTARIO | Yes (1) | |
| SAINT ALPHONSUS HEALTH SYSTEM INC | |||||||||||
| 1055 N CURTIS ROAD | BOISE | ID | 83706 | 271929502 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | ID | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-BAKER CITY INC | |||||||||||
| 3325 POCAHONTAS ROAD | BAKER CITY | OR | 97814 | 271790052 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 261737256 | SUPPORT THE SERVICES OF RELATED HOSPITAL | ID | 501(C)(3) | LINE 7 | SAINT ALPHONSUS MEDICAL CENTER-NAMPA | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC | |||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820200896 | TO PROVIDE QUALITY HEALTH CARE | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| SAINT ALPHONSUS MEDICAL CENTER-ONTARIO INC | |||||||||||
| 351 SW 9TH STREET | ONTARIO | OR | 97914 | 271789847 | TO PROVIDE QUALITY HEALTH CARE | OR | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | |||||||||||
| 1055 NORTH CURTIS RD | BOISE | ID | 83706 | 820200895 | HEALTHCARE SERVICES | ID | 501(C)(3) | LINE 3 | SAINT ALPHONSUS HEALTH SYSTEM INC | Yes (1) | |
| SAINT JAMES CARE INC | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616230 | INACTIVE ENTITY | NJ | 501(C)(3) | LINE 9 | SAINT MICHAELS MEDICAL CENTER | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC | |||||||||||
| 1915 LAKE AVENUE PO BOX 670 | PLYMOUTH | IN | 46563 | 351142669 | HEALTHCARE SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - SOUTH BEND CAMPUS INC | |||||||||||
| PO BOX 1935 | SOUTH BEND | IN | 46634 | 350868157 | HEALTHCARE SERVICES | IN | 501(C)(3) | LINE 3 | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER MISHAWAKA AUXILIARY INC | |||||||||||
| 5215 HOLY CROSS PARKWAY | MISHAWAKA | IN | 46545 | 356033285 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(4) | N/A | SAINT JOSEPH REGIONAL MEDICAL CENTER-S BEND | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH AUXILIARY INC | |||||||||||
| 1915 LAKE AVENUE | PLYMOUTH | IN | 46563 | 356043563 | HOSPITAL SERVICE AUXILIARY | IN | 501(C)(3) | LINE 11B, II | SAINT JOSEPH REGIONAL MEDICAL CENTER-PLYMOUTH | Yes (1) | |
| SAINT JOSEPH REGIONAL MEDICAL CENTER INC | |||||||||||
| 801 EAST LASALLE AVE | SOUTH BEND | IN | 46617 | 351568821 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | |
| SAINT JOSEPH'S HEALTH SYSTEM INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581744848 | MANAGEMENT & SUPPORT SERVICES | GA | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| SAINT JOSEPH'S MERCY CARE SERVICES INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 581752700 | COMMUNITY OUTREACH | GA | 501(C)(3) | LINE 7 | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| SAINT JOSEPH'S TOWER INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 311040468 | PROVIDES HOUSING FOR LOW INCOME ELDERLY INDIVIDUALS | IN | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES-INDIANA | Yes (1) | |
| SAINT MARY HOME II INC | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 061164104 | ELDERLY CARE | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| SAINT MARY'S AMICARE HOME HEALTHCARE | |||||||||||
| 1430 MONROE NW | GRAND RAPIDS | MI | 49505 | 383320700 | PROVIDE HOME HEALTH CARE SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HOME HEALTH SERVICES INC | Yes (1) | |
| SAINT MARY'S FOUNDATION | |||||||||||
| 200 JEFFERSON ST SE | GRAND RAPIDS | MI | 49503 | 381779602 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | LINE 7 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| SAINT MICHAELS MEDICAL CENTER | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 262616046 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| SAMARITAN CHILD CARE CENTER INC | |||||||||||
| 2213 BURDETT AVE | TROY | NY | 12180 | 141710225 | CHILD DAY CARE | NY | 501(C)(3) | LINE 9 | NORTHEAST HEALTH INC | Yes (1) | |
| SAMARITAN HOSPITAL OF TROY NEW YORK | |||||||||||
| 2215 BURDETT AVE | TROY | NY | 12180 | 141338544 | GENERAL HOSPITAL | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | |
| SENIOR CARE CONNECTION INC | |||||||||||
| 504 STATE ST | SCHENECTADY | NY | 12305 | 141708754 | PACE PROGRAM | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| SETON AUXILIARY INC | |||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141505031 | SUPPORTING ORGANIZATION | NY | 501(C)(3) | LINE 9 | SETON HEALTH SYSTEM INC | Yes (1) | |
| SETON HEALTH AT SCHUYLER RIDGE RESIDENTIAL HEALTHCARE | |||||||||||
| 1 ABELE BLVD | CLIFTON PARK | NY | 12065 | 141756230 | SKILLED NURSING | NY | 501(C)(3) | LINE 9 | SETON HEALTH SYSTEM INC | Yes (1) | |
| SETON HEALTH FOUNDATION INC | |||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 222345416 | SUPPORTING ORGANIZATION | NY | 501(C)(3) | LINE 11A, I | SETON HEALTH SYSTEM INC | Yes (1) | |
| SETON HEALTH SYSTEM INC | |||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141776186 | HOSPITAL | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | |
| SISTERS OF PROVIDENCE CARE CENTERS INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 222541103 | LONG TERM CARE | MA | 501(C)(3) | LINE 3 | SISTERS OF PROVIDENCE HEALTH SYSTEM INC | Yes (1) | |
| SISTERS OF PROVIDENCE HEALTH SYSTEM INC | |||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 213 | HOLYOKE | MA | 01040 | 043398374 | MANAGEMENT & SUPPORT SERVICES | MA | 501(C)(3) | LINE 11A, I | CATHOLIC HEALTH EAST | Yes (1) | |
| SJHSJOC HOLDINGS INC | |||||||||||
| 424 DECATUR STREET | ATLANTA | GA | 30312 | 472299757 | REAL ESTATE HOLDING COMPANY | GA | 501(C)(3) | LINE 11B, II | SAINT JOSEPH'S HEALTH SYSTEM INC | Yes (1) | |
| SSJ HEALTH FOUNDATION INC | |||||||||||
| 3661 SOUTH MIAMI AVENUE | MIAMI | FL | 33133 | 591709438 | FUNDRAISING | FL | 501(C)(3) | LINE 7 | MERCY HOSPITAL INC | Yes (1) | |
| ST JOSEPH MERCY OAKLAND FOUNDATION | |||||||||||
| 44405 WOODWARD AVE | PONTIAC | MI | 48341 | 352356789 | SUPPORTS SERVICES OF RELATED HOSPITAL | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| ST AGNES CONTINUING CARE CENTER | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232840137 | CONTINUING CARE SERVICES | PA | 501(C)(3) | LINE 3 | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| ST AGNES CONTINUING CARE CENTER FOUNDATION | |||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232415137 | FUNDRAISING | PA | 501(C)(3) | LINE 11B, II | MERCY HEALTH SYSTEM OF SOUTHEASTERN PENNSYLVANIA | Yes (1) | |
| ST FRANCIS FOUNDATION | |||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510374158 | FOUNDATION | DE | 501(C)(3) | LINE 11B, II | ST FRANCIS HOSPITAL | Yes (1) | |
| ST FRANCIS HOSPITAL | |||||||||||
| PO BOX 2500 | WILMINGTON | DE | 19805 | 510064326 | HOSPITAL | DE | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST FRANCIS HOSPITAL INC | |||||||||||
| 33920 US HIGHWAY 19 NORTH SUITE 269 | PALM HARBOR | FL | 34684 | 590624442 | GRANT-MAKING ORGANIZATION | FL | 501(C)(3) | LINE 11A, I | ALLEGANY FRANCISCAN MINISTRIES INC | Yes (1) | |
| ST FRANCIS MEDICAL CENTER FOUNDATION INC | |||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 521025476 | FOUNDATION | NJ | 501(C)(3) | LINE 11A, I | ST FRANCIS MEDICAL CENTER TRENTON NJ | Yes (1) | |
| ST FRANCIS MEDICAL CENTER TRENTON NJ | |||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 223431049 | HOSPITAL | NJ | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST JAMES MERCY FOUNDATION INC | |||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161486437 | FOUNDATION | NY | 501(C)(3) | LINE 7 | ST JAMES MERCY HEALTH SYSTEM INC | Yes (1) | |
| ST JAMES MERCY HEALTH SYSTEM INC | |||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 223127184 | MANAGEMENT & SUPPORT SERVICES | NY | 501(C)(3) | LINE 11C, III-FI | CATHOLIC HEALTH EAST | Yes (1) | |
| ST JAMES MERCY HOSPITAL | |||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 160743310 | HOSPITAL | NY | 501(C)(3) | LINE 3 | ST JAMES MERCY HEALTH SYSTEM INC | Yes (1) | |
| ST JOSEPH OF THE PINES INC | |||||||||||
| 100 GOSSMAN DRIVE SUITE B | SOUTHERN PINES | NC | 28387 | 560694200 | HOSPITAL | NC | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST MARY BUILDING AND DEVELOPMENT COMPANY | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 461827502 | BUILDING DEVELOPMENT COMPANY | PA | 501(C)(2) | N/A | ST MARY MEDICAL CENTER | Yes (1) | |
| ST MARY EMERGENCY MEDICAL SERVICES | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 465354512 | EMERGENCY MEDICAL SERVICES | PA | 501(C)(3) | LINE 9 | ST MARY MEDICAL CENTER | Yes (1) | |
| ST MARY HOME INCORPORATED | |||||||||||
| 2021 ALBANY AVENUE | WEST HARTFORD | CT | 06117 | 060646843 | SKILLED NURSING | CT | 501(C)(3) | LINE 3 | MERCY COMMUNITY HEALTH INC | Yes (1) | |
| ST MARY MEDICAL CENTER | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 231913910 | HOSPITAL | PA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST MARY MEDICAL CENTER FOUNDATION INC | |||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232567468 | FOUNDATION | PA | 501(C)(3) | LINE 7 | ST MARY MEDICAL CENTER | Yes (1) | |
| ST MARY'S FOUNDATION INC | |||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582544232 | FUNDRAISING | GA | 501(C)(3) | LINE 11A, I | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | |
| ST MARY'S HEALTH CARE SYSTEM INC | |||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 580566223 | HOSPITAL | GA | 501(C)(3) | LINE 3 | CATHOLIC HEALTH EAST | Yes (1) | |
| ST MARY'S HIGHLAND HILLS INC | |||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 020576648 | ASSISTED LIVING & RETIREMENT COMMUNITY | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | |
| ST MARY'S MEDICAL GROUP INC | |||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 261858563 | HOSPITAL / PHYSICIAN SERVICES | GA | 501(C)(3) | LINE 3 | ST MARY'S HEALTH CARE SYSTEM INC | Yes (1) | |
| ST MICHAEL'S FOUNDATION INC | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223311976 | FOUNDATION | NJ | 501(C)(3) | LINE 11A, I | SAINT MICHAELS MEDICAL CENTER | Yes (1) | |
| ST PETER'S AUXILIARY | |||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222843206 | AUXILIARY | NY | 501(C)(3) | LINE 11A, I | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| ST PETER'S HEALTH CARE SERVICES | |||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 222702507 | MANAGEMENT & SUPPORT SERVICES | NY | 501(C)(3) | LINE 9 | ST PETER'S HEALTH PARTNERS | Yes (1) | |
| ST PETER'S HEALTH PARTNERS | |||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 453570715 | MANAGEMENT & SUPPORT SERVICES | NY | 501(C)(3) | LINE 11B, II | CATHOLIC HEALTH EAST | Yes (1) | |
| ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES PC | |||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 461177336 | PHYSICIANS PRACTICE | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH PARTNERS | Yes (1) | |
| ST PETER'S HOSPITAL | |||||||||||
| 315 SOUTH MANNING BLVD | ALBANY | NY | 12208 | 141348692 | HOSPITAL | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| ST PETER'S HOSPITAL FOUNDATION INC | |||||||||||
| 319 SOUTH MANNING BLVD SUITE 114 | ALBANY | NY | 12208 | 222262982 | FUNDRAISING & PUBLIC RELATIONS | NY | 501(C)(3) | LINE 7 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| SUNNYVIEW HOSPITAL & REHABILITATION CENTER FOUNDATION | |||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 222505127 | SUPPORTING FOUNDATION | NY | 501(C)(3) | LINE 11A, I | SUNNYVIEW HOSPITAL & REHABILITATION CTR | Yes (1) | |
| SUNNYVIEW HOSPITAL & REHABILITATION CTR | |||||||||||
| 1270 BELMONT AVE | SCHENECTADY | NY | 12308 | 141338386 | REHABILITATION HOSPITAL | NY | 501(C)(3) | LINE 3 | NORTHEAST HEALTH INC | Yes (1) | |
| THE COMMUNITY HOSPICE FOUNDATION INC | |||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 222692940 | FUNDRAISING & PUBLIC RELATIONS | NY | 501(C)(3) | LINE 7 | THE COMMUNITY HOSPICE INC | Yes (1) | |
| THE COMMUNITY HOSPICE INC | |||||||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | 141608921 | SERVING SERIOUSLY ILL PEOPLE & THEIR FAMILIES | NY | 501(C)(3) | LINE 3 | ST PETER'S HEALTH CARE SERVICES | Yes (1) | |
| THE FOUNDATION OF SAINT JOSEPH REGIONAL MEDICAL CENTER | |||||||||||
| 4215 EDISON LAKES PARKWAY | MISHAWAKA | IN | 46545 | 351654543 | SUPPORTS SERVICES OF RELATED HOSPITAL | IN | 501(C)(3) | LINE 11A, I | SAINT JOSEPH REGIONAL MEDICAL CENTER INC | Yes (1) | |
| THE MARJORIE DOYLE ROCKWELL CENTER INC | |||||||||||
| 421 WEST COLUMBIA ST | COHOES | NY | 12047 | 141793885 | ADULT HOME/ALZHEIMERS | NY | 501(C)(3) | LINE 9 | LTC (EDDY) INC | Yes (1) | |
| THE NORTHEAST HEALTH FOUNDATION INC | |||||||||||
| 2224 BURDETT AVE | TROY | NY | 12180 | 222743478 | SUPPORTING FOUNDATION | NY | 501(C)(3) | LINE 7 | NORTHEAST HEALTH INC | Yes (1) | |
| TRI-COUNTY HUMAN SERVICES CENTER INC | |||||||||||
| 3805 WEST CHESTER PIKE NO 100 | NEWTOWN SQUARE | PA | 19073 | 231938528 | BEHAVIORAL HEALTH ORGANIZATION | PA | 501(C)(3) | LINE 7 | MAXIS HEALTH SYSTEM | Yes (1) | |
| TRI-HOSPITAL EMERGENCY MEDICAL SERVICES | |||||||||||
| 309 GRAND RIVER | PORT HURON | MI | 48060 | 382485700 | PROVIDE EMERGENCY AMBULANCE SERVICES | MI | 501(C)(3) | LINE 11D, III-O | 0 | N/A | |
| TRI-HOSPITAL MRI CENTER | |||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48054 | 382884297 | MRI SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH-MICHIGAN | Yes (1) | |
| TRINITY CONTINUING CARE SERVICES | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 382559656 | MANAGEMENT SERVICES FOR LONG TERM CARE AND SENIOR LIVING FACILITIES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | |
| TRINITY CONTINUING CARE SERVICES - INDIANA INC | |||||||||||
| PO BOX 9184 | FARMINGTON HILLS | MI | 48333 | 930907047 | PROVIDES LONG-TERM CARE AND RESIDENTIAL HOUSING | IN | 501(C)(3) | LINE 9 | TRINITY CONTINUING CARE SERVICES | Yes (1) | |
| TRINITY HEALTH - MICHIGAN | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 382113393 | HEALTHCARE SERVICES | MI | 501(C)(3) | LINE 3 | TRINITY HEALTH CORPORATION | Yes (1) | |
| TRINITY HEALTH CORPORATION | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 351443425 | HEALTHCARE SYSTEM MANAGEMENT AND SUPPORT | IN | 501(C)(3) | LINE 11B, II | CHE TRINITY INC | Yes (1) | |
| TRINITY HEALTH INTERNATIONAL | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 421253527 | HEALTHCARE TRAINING AND SUPPORT SERVICES | MI | 501(C)(3) | LINE 11A, I | TRINITY HEALTH CORPORATION | Yes (1) | |
| TRINITY HEALTH WELFARE BENEFIT TRUST | |||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 208151733 | RETIREE MEDICAL AND RETIREE LIFE INSURANCE COVERAGE | MI | 501(C)(9) | N/A | TRINITY HEALTH CORPORATION | Yes (1) | |
| TRINITY HOME HEALTH SERVICES INC | |||||||||||
| 17410 COLLEGE PARKWAY | LIVONIA | MI | 48152 | 382621935 | HOME HEALTH CARE SYSTEM MANAGEMENT SERVICES | MI | 501(C)(3) | LINE 9 | TRINITY HEALTH CORPORATION | Yes (1) | |
| UIHLEIN MERCY CENTER | |||||||||||
| 185 OLD MILITARY ROAD | TUPPER LAKE | NY | 12986 | 150532190 | IN DISSOLUTION | NY | 501(C)(3) | LINE 3 | MERCY HEALTHCARE CENTER | Yes (1) | |
| UNIVERSITY HEIGHTS PROPERTY COMPANY INC | |||||||||||
| 111 CENTRAL AVENUE | NEWARK | NJ | 07102 | 223100162 | MEDICAL PROPERTY HOLDING COMPANY | NJ | 501(C)(2) | N/A | SAINT MICHAELS MEDICAL CENTER | Yes (1) | |
| VILLA MARY IMMACULATE | |||||||||||
| 301 HACKETT BLVD | ALBANY | NY | 12208 | 141438749 | NURSING HOME & PHYSICAL REHAB | NY | 501(C)(3) | LINE 3 | ST PETER'S HOSPITAL | Yes (1) | |
| VNA HOME HEALTH & HOSPICE | |||||||||||
| 50 FODEN ROAD | SOUTH PORTLAND | ME | 04106 | 010246804 | HOME HEALTH & HOSPICE | ME | 501(C)(3) | LINE 11A, I | MERCY HEALTH SYSTEM OF MAINE | Yes (1) | |
| WESTSHORE HEALTH NETWORK | |||||||||||
| 1820 44TH STREET | KENTWOOD | MI | 49508 | 383280200 | SUPPORT SERVICES | MI | 501(C)(4) | N/A | MERCY HEALTH PARTNERS | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (41 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVENT REHABILITATION LLC | ||||||||||||||
| 607 DEWEY AVENUE SUITE 300 | GRAND RAPIDS | MI | 49504 | 383306673 | REHABILITATION THERAPY SERVICES | MI | N/A | |||||||
| BIG RUN MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311608125 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| CATHERINE HORAN BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 1221 MAIN STREET ROOM 108 | HOLYOKE | MA | 01040 | 042723429 | PROPERTY MANAGEMENT | MA | N/A | |||||||
| CENTENNIAL SURGUNIT LLC | ||||||||||||||
| 502 CENTENNIAL BLVD SUITE 1 | VOORHEES | NJ | 08043 | 223580847 | HEALTHCARE SERVICES | NJ | N/A | |||||||
| CENTER FOR DIGESTIVE CARE LLC | ||||||||||||||
| 5300 ELLIOTT DRIVE | YPSILANTI | MI | 48197 | 030447062 | PROVIDE GASTROINTESTINAL SERVICES | MI | N/A | |||||||
| CENTRAL NEW JERSEY HEART SERVICES LLC | ||||||||||||||
| PO BOX 148 | BAYONNE | NJ | 07002 | 208525458 | CARDIAC PROGRAM | NJ | N/A | |||||||
| CENTRAL OHIO SLEEP MEDICINE LTD | ||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311701029 | SLEEP MEDICINE SERVICES | OH | N/A | |||||||
| CLINTON IMAGING SERVICES LLC | ||||||||||||||
| 615 VALLEY VIEW DR STE 202 | MOLINE | IL | 61265 | 412044739 | MRI DIAGNOSTIC SERVICES | IA | N/A | |||||||
| EAST NORRITON MEDICAL ASSOCIATES | ||||||||||||||
| ONE WEST ELM STREET | CONSHOHOCKEN | PA | 19428 | 232319531 | MEDICAL OFFICE BUILDING | PA | N/A | |||||||
| FOREST PARK IMAGING LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134365966 | X-RAY AND MAMMOGRAPHY SERVICES | IA | MERCY HEALTH SERVICES-IOWA CORP | RELATED | $1,387,438 | $339,249 | 0 | Yes (1) | 0.52890 | |
| FRANCES WARDE MEDICAL LABORATORY | ||||||||||||||
| 300 WEST TEXTILE ROAD | ANN ARBOR | MI | 48104 | 382648446 | LABORATORY | MI | N/A | |||||||
| FRESNO IMAGING CENTER | ||||||||||||||
| 1303 E HERNDON AVE | FRESNO | CA | 93720 | 770363563 | DIAGNOSTIC IMAGING | CA | N/A | |||||||
| GATEWAY HEALTH PLAN | ||||||||||||||
| 300 GRANT STREET | PITTSBURGH | PA | 15219 | 251691945 | MEDICAID & MEDICARE/SPECIAL NEEDS MANAGED CARE ORGANIZATION | PA | N/A | |||||||
| HAWARDEN REGIONAL HEALTH CLINICS LLC | ||||||||||||||
| 1122 AVENUE L | HAWARDEN | IA | 51023 | 201444339 | MEDICAL CLINIC | IA | N/A | |||||||
| IDAHO ASC HOLDINGS LLC | ||||||||||||||
| 4400 E FLAMINGO AVE | NAMPA | ID | 83687 | 364729605 | HOLDING COMPANY FOR AMBULATORY SURGERY | ID | N/A | |||||||
| LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK LP | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 364119522 | SURGICAL SERVICES | IL | N/A | |||||||
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||||||||||||||
| 1416 SIXTH STREET SW | MASON CITY | IA | 50401 | 421328388 | MRI SERVICES | IA | MERCY HEALTH SERVICES-IOWA CORP | RELATED | $1,025,256 | $2,238 | 0 | Yes (1) | 0.49000 | |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 990 4TH STREET SW | MASON CITY | IA | 50401 | 201960348 | SURGERY-SAME DAY | IA | MERCY HEALTH SERVICES-IOWA CORP | RELATED | $3,420,841 | $2,817,908 | 0 | Yes (1) | 0.51000 | |
| MCE MOB IV LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 421544707 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MCMC POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311392994 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MEDILUCENT MOB I | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 204911370 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| MERCY ADVANCED MRI LLC | ||||||||||||||
| 2525 SOUTH MICHIGAN AVE | CHICAGO | IL | 60616 | 262116721 | SUBLEASE MRI EQUIPMENT | IL | N/A | |||||||
| MERCY HEART CTR OP SERVICES LLC | ||||||||||||||
| 1000 4TH STREET SW | MASON CITY | IA | 50401 | 134237594 | CARDIOVASCULAR SERVICES | IA | MERCY HEALTH SERVICES-IOWA CORP | RELATED | $184,301 | $338,886 | 0 | 0 | 0.51000 | |
| MERCYMANOR PARTNERSHIP | ||||||||||||||
| PO BOX 10086 | TOLEDO | OH | 43699 | 521931012 | NURSING HOME | PA | N/A | |||||||
| MOUNT CARMEL EAST POB III LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311369473 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| NAZARETH MEDICAL OFFICE BUILDING ASSOCIATES LP | ||||||||||||||
| C/O NAZARETH HOSP 2601 HOLME AVE | PHILADELPHIA | PA | 19152 | 232388040 | MEDICAL OFFICE BUILDING | PA | N/A | |||||||
| NEWCO AMBULATORY SURGERY CTR LLP | ||||||||||||||
| 4190 24TH AVENUE | FORT GRATIOT | MI | 48059 | 300136708 | OUTPATIENT SURGERY CENTER | MI | N/A | |||||||
| PHYSICIANS OUTPATIENT SURGERY CENTER LLC | ||||||||||||||
| 1000 NE 56TH STREET | OAKLAND PARK | FL | 33334 | 352325646 | AMBULATORY SURGERY CENTER | FL | N/A | |||||||
| SARMED OUTPATIENT PHARMACY LLC | ||||||||||||||
| 999 N CURTIS RD STE 102 | BOISE | ID | 83706 | 510483218 | PHARMACY | ID | N/A | |||||||
| SIXTY FOURTH STREET LLC | ||||||||||||||
| 2373 64TH ST STE 2200 | BYRON CENTER | MI | 49315 | 202443646 | PROVIDE OUTPATIENT SURGICAL CARE | MI | N/A | |||||||
| SJV MANAGEMENT LLC | ||||||||||||||
| 200 CENTURY PKWY STE 200E | MOUNT LAUREL | NJ | 08054 | 202273476 | RADIOLOGY | NJ | N/A | |||||||
| SMMC MOB II LP | ||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 364559869 | INVESTMENT AND OPERATION OF A MEDICAL BUILDING | PA | N/A | |||||||
| ST AGNES LONG-TERM INTENSIVE CARE LLP | ||||||||||||||
| C/O MHS ONE WEST ELM ST STE 100 | CONSHOHOCKEN | PA | 19428 | 200984882 | LONG TERM INTENSIVE CARE | PA | N/A | |||||||
| ST ALPHONSUS CALDWELL CANCER CTR LLC | ||||||||||||||
| 3123 MEDICAL DR | CALDWELL | ID | 83605 | 820526861 | RADIATION ONCOLOGY | ID | N/A | |||||||
| ST ANN'S MEDICAL OFFICE BLDG II LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311603660 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| ST MARY REHABILITATION HOSPITAL LLP | ||||||||||||||
| 113 SEABOARD LANE SUITE B201 | FRANKLIN | TN | 37067 | 273938747 | MEDICAL SERVICES | DE | N/A | |||||||
| ST PETER'S AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 1375 WASHINGTON AVENUE STE 201 | ALBANY | NY | 12206 | 460463892 | OUTPATIENT SURGERY | NY | N/A | |||||||
| TAMARACK MEDICAL CLINIC LLC | ||||||||||||||
| 402 OLD STATE HWY | CASCADE | ID | 83611 | 201637921 | OUTPATIENT MEDICAL SERVICES | ID | N/A | |||||||
| THE AMBULATORY SURGERY CENTER AT ST MARY LLC | ||||||||||||||
| 1203 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232871206 | OUTPATIENT SURGERY | PA | N/A | |||||||
| WESTAR MEDICAL OFFICE BUILDING LIMITED PARTNERSHIP | ||||||||||||||
| 793 W STATE STREET | COLUMBUS | OH | 43222 | 311784409 | MEDICAL OFFICE BUILDING RENTAL | OH | N/A | |||||||
| WOODLAND IMAGING CENTER LLC | ||||||||||||||
| 5301 E HURON RIVER DR | ANN ARBOR | MI | 48106 | 760820959 | RADIOLOGY/IMAGING | MI | N/A | |||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (58 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Province Or StateForeignAddress/ProvinceOrState | Postal CodeForeignAddress/PostalCode |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AFFILIATED MANAGEMENT SERVICES CORPORATION INC | |||||||||||||||||||
| 1300 MASSACHUSETTS AVENUE | TROY | NY | 12180 | 141668024 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||||||||
| CARBONDALE AREA PHYSICIANS' ASSOCIATION PC | |||||||||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232801677 | MEDICAL INSURANCE CONTRACTING | PA | N/A | C | Yes (1) | ||||||||||
| CARBONDALE AREA PHYSICIANS' PHO INC | |||||||||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232801676 | INACTIVE | PA | N/A | C | Yes (1) | ||||||||||
| CARBONDALE PHYSICIANS' SERVICES INC | |||||||||||||||||||
| 100 LINCOLN AVE | CARBONDALE | PA | 18407 | 232365077 | PHARMACY | PA | N/A | C | Yes (1) | ||||||||||
| GEORGIA HEALTH ENTERPRISES LLC | |||||||||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 541806329 | HEALTHCARE | GA | N/A | C | Yes (1) | ||||||||||
| CATHOLIC HEALTH EAST SENIOR SERVICES | |||||||||||||||||||
| 3805 WEST CHESTER PIKE SUITE 100 | NEWTOWN SQUARE | PA | 19073 | 371572595 | SENIOR SERVICES | PA | N/A | C | Yes (1) | ||||||||||
| CHESTNUT RISK SERVICES LTD | |||||||||||||||||||
| INSURANCE | N/A | C | Yes (1) | 11 VICTORIA STREET | HAMILTON | BD | BD | ||||||||||||
| GHE PHYSICIANS PC | |||||||||||||||||||
| 3500 PIEDMONT ROAD | ATLANTA | GA | 30305 | 582277939 | PRACTICE MANAGEMENT | GA | N/A | C | Yes (1) | ||||||||||
| GATEWAY HEALTH PLAN INC | |||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 251505506 | HEALTH CARE | PA | N/A | C | Yes (1) | ||||||||||
| GATEWAY HEALTH PLAN INC OF OHIO | |||||||||||||||||||
| 600 GRANT STREET | PITTSBURGH | PA | 15219 | 300282076 | HEALTH CARE | PA | N/A | C | Yes (1) | ||||||||||
| ST MARY'S HIGHLAND HILLS VILLAGE INC | |||||||||||||||||||
| 1230 BAXTER STREET | ATHENS | GA | 30606 | 582276801 | ASSISTED LIVING | GA | N/A | C | Yes (1) | ||||||||||
| CATHERINE HORAN BUILDING INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 042938160 | BUILDING MANAGEMENT | MA | N/A | C | Yes (1) | ||||||||||
| GOTTLIEB MANAGEMENT SERVICES INC | |||||||||||||||||||
| 701 W NORTH AVE | MELROSE PARK | IL | 60160 | 363330529 | MANAGEMENT SERVICES | IL | N/A | C | Yes (1) | ||||||||||
| HACKLEY HEALTH MANAGEMENT CENTER | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382961814 | WEIGHT MANAGEMENT | MI | N/A | C | Yes (1) | ||||||||||
| HACKLEY HEALTH VENTURES INC | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382589959 | OTHER MEDICAL SERVICES | MI | N/A | C | Yes (1) | ||||||||||
| HACKLEY HEALTHCARE EQUIPMENT | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382578569 | HOME MEDICAL EQUIPMENT | MI | N/A | C | Yes (1) | ||||||||||
| HACKLEY PROFESSIONAL CENTER | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383024797 | REAL ESTATE RENTAL | MI | N/A | C | Yes (1) | ||||||||||
| HACKLEY PROFESSIONAL PHARMACY | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 382447870 | PHARMACY | MI | N/A | C | Yes (1) | ||||||||||
| HEALTH MANAGEMENT SERVICES ORG INC | |||||||||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223366580 | HEALTH CARE BILLING | NJ | N/A | C | Yes (1) | ||||||||||
| HEF INC | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383086401 | OFFICE STAFFING | MI | N/A | C | Yes (1) | ||||||||||
| HOLY CROSS PRIVATE HOME SERVICES CORP | |||||||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521986562 | HOME CARE SERVICES | MD | N/A | C | Yes (1) | ||||||||||
| HPC CO-OWNERS ASSOCIATION | |||||||||||||||||||
| 1700 CLINTON | MUSKEGON | MI | 49442 | 270734448 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||||||||
| HURON ARBOR CORPORATION | |||||||||||||||||||
| 5301 EAST HURON RIVER DR PO BOX 992 | ANN ARBOR | MI | 48106 | 382475644 | PROVIDES OFFICE RENTAL SPACE | MI | N/A | C | Yes (1) | ||||||||||
| IHA AFFILIATION CORPORATION | |||||||||||||||||||
| 24 FRANK LLOYD WRIGHT DR LOBBY J | ANN ARBOR | MI | 48106 | 383188895 | MEDICAL MANAGEMENT | MI | N/A | C | Yes (1) | ||||||||||
| DIVERSIFIED COMMUNITY SERVICES INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 043128890 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||||||||
| MERCY INPATIENT MEDICAL ASSOCIATES INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 043029929 | MEDICAL SERVICES | MA | N/A | C | Yes (1) | ||||||||||
| PHYSICIANS MEDICAL OFFICE BUILDING CONDOMINIUM TRUST | |||||||||||||||||||
| 1221 MAIN STREET ROOM 108 | HOLYOKE | MA | 01040 | 046608649 | PROPERTY MANAGEMENT | MA | N/A | C | Yes (1) | ||||||||||
| PROVIDENCE HOME CARE INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 043317426 | HEALTH CARE SERVICES | MA | N/A | C | Yes (1) | ||||||||||
| SYSTEM COORDINATED SERVICES INC | |||||||||||||||||||
| C/O SPHS 1221 MAIN STREET SUITE 108 | HOLYOKE | MA | 01040 | 042938181 | LAB SERVICES | MA | N/A | C | Yes (1) | ||||||||||
| LIFECARE PHYSICIANS PC | |||||||||||||||||||
| 601 HAMILTON AVENUE | TRENTON | NJ | 08629 | 261649038 | HEALTH CARE SERVICES | NJ | N/A | C | Yes (1) | ||||||||||
| LOURDES MEDICAL ASSOCIATES PA | |||||||||||||||||||
| 500 GROVE STREET SUITE 100 | HADDON HEIGHTS | NJ | 08035 | 223361862 | MEDICAL SERVICES | NJ | N/A | C | Yes (1) | ||||||||||
| MARYLAND CARE GROUP INC | |||||||||||||||||||
| 11801 TECH ROAD | SILVER SPRING | MD | 20904 | 521815313 | HEALTHCARE HOLDING | MD | N/A | C | Yes (1) | ||||||||||
| MCMC EASTWICK INC | |||||||||||||||||||
| C/O MHS ONE WEST ELM STREET STE 100 | CONSHOHOCKEN | PA | 19428 | 232184261 | MEDICAL OFFICE BUILDINGS | PA | N/A | C | Yes (1) | ||||||||||
| MEDNOW INC | |||||||||||||||||||
| 1512 12TH AVENUE ROAD | NAMPA | ID | 83686 | 820389927 | OUTPATIENT PHARMACY | ID | N/A | C | Yes (1) | ||||||||||
| JEANNETTE MEDICAL PROVIDERS | |||||||||||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 251787334 | HOLDING COMPANY | PA | N/A | C | Yes (1) | ||||||||||
| MERCY MEDICAL SERVICES | |||||||||||||||||||
| 801 5TH STREET | SIOUX CITY | IA | 51101 | 421283849 | PRIMARY CARE PHYSICIANS | IA | C | Yes (1) | MERCY HEALTH SERVICES-IOWA CORP | -$5,062,420 | $13,885,921 | 1.00000 | |||||||
| MERCY SERVICES CORPORATION | |||||||||||||||||||
| 2525 SOUTH MICHIGAN AVENUE | CHICAGO | IL | 60616 | 363227348 | DORMANT | IL | N/A | C | Yes (1) | ||||||||||
| MICHIGAN ATHLETIC CLUB | |||||||||||||||||||
| 2500 BURTON | GRAND RAPIDS | MI | 49546 | 382647304 | ATHLETIC CLUB | MI | N/A | C | Yes (1) | ||||||||||
| MOUNT CARMEL HEALTH PROVIDERS INC | |||||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311382442 | MEDICAL SERVICES | OH | N/A | C | Yes (1) | ||||||||||
| NORTH IOWA MERCY MEDICAL SERVICES INC | |||||||||||||||||||
| 1000 4TH ST SW | MASON CITY | IA | 50401 | 421382308 | MEDICAL SERVICES | IA | C | Yes (1) | MERCY HEALTH SERVICES-IOWA CORP | 1.00000 | |||||||||
| NURSING NETWORK INC | |||||||||||||||||||
| 4725 NORTH FEDERAL HIGHWAY | FORT LAUDERDALE | FL | 33308 | 591145192 | MEDICAL SERVICES | FL | N/A | C | Yes (1) | ||||||||||
| JEANNETTE OBGYN GROUP 1 INC | |||||||||||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 232890748 | HOLDING COMPANY | PA | N/A | C | Yes (1) | ||||||||||
| PRIORITY PLUS OF CALIFORNIA | |||||||||||||||||||
| PO BOX 27230 | FRESNO | CA | 93729 | 770395267 | FORMERLY HLTH MGMT NOW DISCONTINUED OPERATIONS | CA | N/A | C | Yes (1) | ||||||||||
| JEANNETTE PRIMARY CARE GROUP 1 INC | |||||||||||||||||||
| 3805 WEST CHESTER PIKE | NEWTOWN SQUARE | PA | 19073 | 232890743 | HOLDING COMPANY | PA | N/A | C | Yes (1) | ||||||||||
| SAINT ALPHONSUS HEALTH ALLIANCE INC | |||||||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 820524649 | ACCOUNTABLE CARE ORGANIZATION | ID | N/A | C | Yes (1) | ||||||||||
| SAINT ALPHONSUS PHYSICIANS PA | |||||||||||||||||||
| 1055 NORTH CURTIS ROAD | BOISE | ID | 83706 | 331078261 | PHYSICIANS | ID | N/A | C | Yes (1) | ||||||||||
| SAINT MARY'S HEALTH MANAGEMENT COMPANY | |||||||||||||||||||
| 1640 EAST PARIS SE | GRAND RAPIDS | MI | 49546 | 383450733 | ATHLETIC CLUB | MI | N/A | C | Yes (1) | ||||||||||
| SAMARITAN MEDICAL OFFICE BUILDING INC | |||||||||||||||||||
| 2212 BURDETT AVENUE | TROY | NY | 12180 | 141607244 | REAL ESTATE | NY | N/A | C | Yes (1) | ||||||||||
| SJM PROPERTIES INC | |||||||||||||||||||
| 411 CANISTEO STREET | HORNELL | NY | 14843 | 161294991 | PROPERTY HOLDINGS | NY | N/A | C | Yes (1) | ||||||||||
| LANGHORNE SERVICES II INC | |||||||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 253795549 | GENERAL PARTNER OF LMOB PARTNERS, II | PA | N/A | C | Yes (1) | ||||||||||
| STELLA MARIS INSURANCE COMPANY LIMITED | |||||||||||||||||||
| 980632008 | INSURANCE | N/A | C | Yes (1) | PO BOX 69 | GRAND CAYMAN | CJ | CJ | CAYMAN ISLANDS | KY1-1102 | |||||||||
| SURGERY CENTER FINANCING CORPORATION | |||||||||||||||||||
| 6150 EAST BROAD STREET | COLUMBUS | OH | 43213 | 311531102 | FINANCE, INSURANCE AND REAL ESTATE | OH | N/A | C | Yes (1) | ||||||||||
| LANGHORNE SERVICES INC | |||||||||||||||||||
| 1201 LANGHORNE-NEWTOWN ROAD | LANGHORNE | PA | 19047 | 232625981 | GENERAL PARTNER OF LMOB PARTNERS, | PA | N/A | C | Yes (1) | ||||||||||
| THRE SERVICES LLC | |||||||||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 452603654 | REAL ESTATE BROKERAGE SERVICES | MI | N/A | C | Yes (1) | ||||||||||
| TRINITY HEALTH EMPLOYEE BENEFIT TRUST | |||||||||||||||||||
| 20555 VICTOR PARKWAY | LIVONIA | MI | 48152 | 383410377 | GRANTOR TRUST | MI | N/A | T | Yes (1) | ||||||||||
| VENZKE INSURANCE COMPANY LTD | |||||||||||||||||||
| 980453602 | PROVISION OF INSURANCE COVERAGE | N/A | C | Yes (1) | PO BOX 1051 GRAND CAYMAN | GRAND CAYMAN | CJ | CJ | |||||||||||
| WEST SHORE PROFESSIONAL BUILDING CONDOMINIUM | |||||||||||||||||||
| 1820 44TH STREET SE | KENTWOOD | MI | 49508 | 382700166 | CONDOMINIUM ASSOCIATION | MI | N/A | C | Yes (1) | ||||||||||
| WORKPLACE HEALTH OF GRAND HAVEN | |||||||||||||||||||
| 1415 LEAHY ST | MUSKEGON | MI | 49442 | 383112035 | OCCUPATIONAL HEALTH | MI | N/A | C | Yes (1) | ||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (38 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DUBUQUE MERCY HEALTH FOUNDATION | ||
| B | $414,859 | PER BOOKS |
| DUBUQUE MERCY HEALTH FOUNDATION | ||
| C | $161,406 | PER BOOKS |
| DUBUQUE MERCY HEALTH FOUNDATION | ||
| L | $414,859 | PER BOOKS |
| DYERSVILLE HEALTH FOUNDATION INC | ||
| B | $148,942 | PER BOOKS |
| DYERSVILLE HEALTH FOUNDATION INC | ||
| C | $90,472 | PER BOOKS |
| DYERSVILLE HEALTH FOUNDATION INC | ||
| L | $148,942 | PER BOOKS |
| TRINITY HOME HEALTH SERVICES INC | ||
| L | $56,881 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| B | $4,057,145 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| C | $114,805 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| M | $53,755,362 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| P | $52,552,368 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| Q | $2,826,510 | PER BOOKS |
| TRINITY HEALTH CORPORATION | ||
| R | $8,587,080 | PER BOOKS |
| MERCY HEART CTR OP SERVICES LLC | ||
| A | $1,826 | PER BOOKS |
| MERCY HEART CTR OP SERVICES LLC | ||
| L | $115,212 | PER BOOKS |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||
| C | $3,449,085 | PER BOOKS |
| MASON CITY AMBULATORY SURGERY CENTER LLC | ||
| L | $308,073 | PER BOOKS |
| FOREST PARK IMAGING LLC | ||
| C | $1,250,873 | PER BOOKS |
| FOREST PARK IMAGING LLC | ||
| L | $658,222 | PER BOOKS |
| HOSPICE OF NORTH IOWA | ||
| M | $113,463 | PER BOOKS |
| HOSPICE OF NORTH IOWA | ||
| Q | $497,187 | PER BOOKS |
| MERCY MEDICAL CENTER FOUNDATION-NORTH IOWA | ||
| C | $772,679 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| B | $357,512 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| L | $70,983 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| M | $91,795 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| P | $183,962 | PER BOOKS |
| BAUM HARMON MERCY HOSPITAL | ||
| Q | $326,432 | PER BOOKS |
| OAKLAND MERCY HOSPITAL | ||
| B | $602,443 | PER BOOKS |
| OAKLAND MERCY HOSPITAL | ||
| L | $86,011 | PER BOOKS |
| OAKLAND MERCY HOSPITAL | ||
| P | $227,171 | PER BOOKS |
| OAKLAND MERCY HOSPITAL | ||
| Q | $371,150 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| B | $5,153,355 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| M | $179,042 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| P | $1,810,522 | PER BOOKS |
| MERCY MEDICAL SERVICES | ||
| Q | $2,249,171 | PER BOOKS |
| MERCY MEDICAL CENTER-SIOUX CITY FOUNDATION | ||
| B | $242,060 | PER BOOKS |
| MERCY MEDICAL CENTER-SIOUX CITY FOUNDATION | ||
| C | $550,242 | PER BOOKS |
| MAGNETIC RESONANCE SERVICES PARTNERSHIP | ||
| C | $1,008,302 | PER TAX RETURN |